The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction

Background: The epiphora is the most common manifestation of obstruction of the nasolacrimal duct, which is treated by dacryocystorhinostomy either by external or internal endoscopic endonasal approach. With the advance of the nasal endoscope, the endoscopic dacryocystorhinostomy became well establi...

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Autores principales:	Ahmed Abdelaal, Ahmed Zaghloul
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	endoscopic endonasal dacryocystorhinostomy nasolacrimal duct epiphora Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c9daaa7e08c84a599c334b2ac9d6a373
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spelling	oai:doaj.org-article:c9daaa7e08c84a599c334b2ac9d6a3732021-12-02T14:06:31ZThe Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction2636-41742682-378010.21608/ijma.2020.42826.1169https://doaj.org/article/c9daaa7e08c84a599c334b2ac9d6a3732021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_122709_59102aed7ed7e0a893cef00e88de5ca9.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: The epiphora is the most common manifestation of obstruction of the nasolacrimal duct, which is treated by dacryocystorhinostomy either by external or internal endoscopic endonasal approach. With the advance of the nasal endoscope, the endoscopic dacryocystorhinostomy became well established. Aim of the work: To evaluate the efficacy and safety of intranasal endoscopic dacryocystorhinostomy [DCR] in the management of patients with acquired nasolacrimal duct obstruction. Patients and Methods: This is a retrospective study of patients with acquired obstruction of the nasolacrimal duct who underwent intra-nasal endoscopic dacryocystorhinostomy [EDCR] at Al-Azhar University Hospitals from September 2012 to October 2015. Forty-five procedures were done where primary endoscopic DCR was done on forty patients and revision endoscopic DCR was done on failed five patients. The outcome is measured by subjective improvement of epiphora. Results: The patients were followed up for three years, improvement of 35 patients with epiphora from 40 patients [the rate of success was 86.7%] and the remaining five failed cases undergoing revision EDCR with the improvement of four from them. The success was confirmed with the subjective improvement of epiphora. The rate of minor complications reported was 28.8% and managed conservative, and only one major complication occurred in one patient. Conclusion: The endoscopic intranasal DCR is an effective and safe procedure in the management of acquired obstruction of the nasolacrimal duct and gives a high success rate.Ahmed AbdelaalAhmed ZaghloulAl-Azhar University, Faculty of Medicine (Damietta)articleendoscopicendonasaldacryocystorhinostomynasolacrimal ductepiphoraMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1069-1074 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endoscopic endonasal dacryocystorhinostomy nasolacrimal duct epiphora Medicine (General) R5-920
spellingShingle	endoscopic endonasal dacryocystorhinostomy nasolacrimal duct epiphora Medicine (General) R5-920 Ahmed Abdelaal Ahmed Zaghloul The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction
description	Background: The epiphora is the most common manifestation of obstruction of the nasolacrimal duct, which is treated by dacryocystorhinostomy either by external or internal endoscopic endonasal approach. With the advance of the nasal endoscope, the endoscopic dacryocystorhinostomy became well established. Aim of the work: To evaluate the efficacy and safety of intranasal endoscopic dacryocystorhinostomy [DCR] in the management of patients with acquired nasolacrimal duct obstruction. Patients and Methods: This is a retrospective study of patients with acquired obstruction of the nasolacrimal duct who underwent intra-nasal endoscopic dacryocystorhinostomy [EDCR] at Al-Azhar University Hospitals from September 2012 to October 2015. Forty-five procedures were done where primary endoscopic DCR was done on forty patients and revision endoscopic DCR was done on failed five patients. The outcome is measured by subjective improvement of epiphora. Results: The patients were followed up for three years, improvement of 35 patients with epiphora from 40 patients [the rate of success was 86.7%] and the remaining five failed cases undergoing revision EDCR with the improvement of four from them. The success was confirmed with the subjective improvement of epiphora. The rate of minor complications reported was 28.8% and managed conservative, and only one major complication occurred in one patient. Conclusion: The endoscopic intranasal DCR is an effective and safe procedure in the management of acquired obstruction of the nasolacrimal duct and gives a high success rate.
format	article
author	Ahmed Abdelaal Ahmed Zaghloul
author_facet	Ahmed Abdelaal Ahmed Zaghloul
author_sort	Ahmed Abdelaal
title	The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction
title_short	The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction
title_full	The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction
title_fullStr	The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction
title_full_unstemmed	The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction
title_sort	value of endoscopic dacryocystorhinostomy in management of acquired nasolacrimal duct obstruction
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/c9daaa7e08c84a599c334b2ac9d6a373
work_keys_str_mv	AT ahmedabdelaal thevalueofendoscopicdacryocystorhinostomyinmanagementofacquirednasolacrimalductobstruction AT ahmedzaghloul thevalueofendoscopicdacryocystorhinostomyinmanagementofacquirednasolacrimalductobstruction AT ahmedabdelaal valueofendoscopicdacryocystorhinostomyinmanagementofacquirednasolacrimalductobstruction AT ahmedzaghloul valueofendoscopicdacryocystorhinostomyinmanagementofacquirednasolacrimalductobstruction
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The Value of Endoscopic Dacryocystorhinostomy in Management of Acquired Nasolacrimal Duct Obstruction

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