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Type: Journal article
Title: Endoscopic dacryocystorhinostomy in acute dacryocystitis: a multicenter case series
Author: Madge, S.
Chan, W.
Malhotra, R.
Ghabrial, R.
Floreani, S.
Wormald, P.
Tsirbas, A.
Selva-Nayagam, D.
Citation: Orbit: the international journal on orbital disorders, oculoplastic and lacrimal surgery, 2011; 30(1):1-6
Publisher: Taylor & Francis The Netherlands
Issue Date: 2011
ISSN: 0167-6830
Statement of
Simon N. Madge, Weng Onn Chan, Raman Malhotra, Raf Ghabrial, Stephen Floreani, Peter J. Wormald, Angelo Tsirbas and Dinesh Selva
Abstract: <h4>Objective</h4>To present our experience of early endonasal DCR (endoDCR) in the treatment of acute dacryocystitis (AD). Methods. International multicenter non-comparative retrospective study.<h4>Results</h4>Eighteen patients were identified. All were treated with antibiotics prior to surgery with a median of time from referral to endoDCR surgeon to surgery of 3 days (range 1-7). Surgery was performed using mechanical powered endoDCR (MENDCR) in 15/18 (83.3%) cases; mitomycin C was used in 5/18 (27.8%) and all cases underwent bicanalicular intubation. An increase in perioperative bleeding was noted in 5/18 (27.8%), causing interference in surgical technique in one (5.6%). Resolution of AD was seen in all cases, with no recurrences. 17/18 (94.4%) cases were free of epiphora at median follow-up of 12 months (range 2-36), with nasal endoscopy revealing free flow of fluorescein through the ostium in 17/18 (94.4%) of cases. The median total length of stay was 1 night (range 0-3).<h4>Conclusions</h4>EndoDCR surgery performed early in AD led to rapid resolution of the condition in all cases and was associated with subsequent anatomical and functional success in 94.4% of cases. Early endoDCR surgery in the context of AD and the potential associated health economic benefits are worth further consideration and study.
Keywords: Endoscopic dacryocystorhinostomy
Acute dacryocystitis
Rights: Copyright © 2011 Informa Healthcare USA, Inc.
DOI: 10.3109/01676830.2010.535952
Appears in Collections:Aurora harvest 5
Opthalmology & Visual Sciences publications

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