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|Title:||Endoscopic dacryocystorhinostomy in acute dacryocystitis: a multicenter case series|
|Citation:||Orbit, 2011; 30(1):1-6|
|Publisher:||Taylor & Francis The Netherlands|
|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.|
|Appears in Collections:||Opthalmology & Visual Sciences publications|
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