Acute post-operative rhinosinusitis following endonasal dacryocystorhinostomy
| dc.contributor.author | Shams, P. | |
| dc.contributor.author | Selva-Nayagam, D. | |
| dc.date.issued | 2013 | |
| dc.description.abstract | Purpose: To investigate the incidence and risk factors for acute rhinosinusitis (ARS) following endoscopic dacryocystorhinostomy (EnDCR). Methods: Retrospective single-surgeon interventional case series, including 196 consecutive patients undergoing 203 endonasal DCR, with clinical and radiological evidence of nasolacrimal duct or common canalicular obstruction. Pre-operative lacrimal and sinonasal clinical assessment and imaging, intraoperative endoscopic video recording, and post-operative clinical and endoscopic findings were analysed for cases of ARS occurring within the first 4 weeks following DCR among patients with and without a past history of chronic rhinosinusitis (CRS). Surgical complications and outcomes at 12 months and management of ARS are reported. Results: Three patients (1.5%) developed ARS within the first 5 post-operative days, none of which had experienced peri-operative complications and all had a past history of CRS. The rate of CRS in this cohort of 196 patients was 10.2% (n=20), of which 15% (n=3) developed ARS, although none had symptoms of CRS at the time of surgery; one had undergone previous sinus surgery. Presenting symptoms of ARS included facial pain, tenderness over the affected sinus, and nasal discharge; all patients responded to oral antibiotic therapy. Discussion: The rate of ARS following EnDCR was 1.5%. In those with a prior history of CRS, it was 15% (P=0.009). ARS developed within the first post-operative week among patients with a past history of CRS, who were asymptomatic at the time of surgery, and responded to oral antibiotics. CRS may be a risk factor for the development of post-operative ARS. | |
| dc.description.statementofresponsibility | PN Shams and D Selva | |
| dc.identifier.citation | Eye, 2013; 27(10):1130-1136 | |
| dc.identifier.doi | 10.1038/eye.2013.147 | |
| dc.identifier.issn | 0950-222X | |
| dc.identifier.issn | 1476-5454 | |
| dc.identifier.orcid | Selva-Nayagam, D. [0000-0002-2169-5417] | |
| dc.identifier.uri | http://hdl.handle.net/2440/80891 | |
| dc.language.iso | en | |
| dc.publisher | Nature Publishing Group | |
| dc.rights | © 2013 Macmillan Publishers Limited All rights reserved | |
| dc.source.uri | https://doi.org/10.1038/eye.2013.147 | |
| dc.subject | endoscopic dacryocystorhinostomy | |
| dc.subject | acute post-operative rhinosinusitis | |
| dc.subject | chronic rhinosinusitis | |
| dc.subject | nasolacrimal duct obstruction | |
| dc.subject | functional endoscopic sinus surgery | |
| dc.title | Acute post-operative rhinosinusitis following endonasal dacryocystorhinostomy | |
| dc.type | Journal article | |
| pubs.publication-status | Published |