Endoscopic dacryocystorhinostomy: a retrospective study of our experience.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-06-18 DOI:10.1017/S0022215125102508

Louay Salfity, George McNally, Bertie Fernando, Anu Daudia

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引用次数: 0

Abstract

Objectives: This study aimed to assess the surgical and patient reported outcomes for monocanalicular and bicanalicular silicone stent insertion in endoscopic dacryocystorhinostomy for distal nasolacrimal duct obstruction.

Methods: A retrospective cohort study was undertaken for all endoscopic dacryocystorhinostomy cases performed collaboratively by ENT and ophthalmology at Royal Blackburn Hospital.

Results: A total of 60 patients were included in the study. Tubes were used in 95 per cent of cases; 92 per cent reported a positive outcome. Minor post-operative complications occurred in 30 per cent. When further broken down by tube type, success rates were 94 per cent for monocanalicular and 95.5 per cent for bicanalicular stents, however, the difference was not statistically significant. In contrast, the complication rates were 22 per cent for monocanalicular stents and 63.6 per cent for bicanalicular stents, with this difference being statistically significant.

Conclusion: Both monocanalicular and bicanalicular stents showed similar high surgical success rates. However, monocanalicular stents were better tolerated by patients and associated with fewer complications.

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内窥镜泪囊鼻腔造口术-经验回顾研究。

目的：本研究旨在评估内镜下泪囊鼻腔造瘘术中单管和双管硅胶支架置入治疗鼻泪管远端梗阻的手术和患者报告的结果。方法：回顾性队列研究在皇家布莱克本医院由耳鼻喉科和眼科合作进行的所有内窥镜泪囊鼻腔造口术病例。结果：共纳入60例患者。95%的病例使用试管；92%的人报告了积极的结果。30%的患者发生了轻微的术后并发症。当进一步细分管型时，单管支架的成功率为94%，双管支架的成功率为95.5%，然而，差异无统计学意义。相比之下，单管支架的并发症发生率为22%，双管支架为63.6%，差异有统计学意义。结论：单管支架与双管支架手术成功率相似。然而，单管支架患者耐受性较好，并发症较少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.