The Outcome of Endonasal Endoscopic Versus Transcanalicular Laser Dacryocystorhinostomy | [Journal of Liaquat University of Medical and Health Sciences • 2024]

Author(s):

1. Amber Khalid: Department of Ophthalmology, Ziauddin University, Karachi, Sindh-Pakistan.

2. Sharjeel Sultan: Department of Ophthalmology, Ziauddin University, Karachi, Sindh-Pakistan.

3. Mahtab Alam Khanzada: Institute of Ophthalmology, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh-Pakistan.

4. Muhammad Wasif: Department of ENT Head & Neck Surgery, Ziauddin University, Karachi, Sindh-Pakistan.

5. Ayoob Bhatty: Department of Ophthalmology, Ziauddin University, Karachi, Sindh-Pakistan.

6. Aveen Fatima: Department of Ophthalmology, Ziauddin University, Karachi, Sindh-Pakistan.

Abstract:

OBJECTIVE: The purpose of our research was to analyze and compare the outcome of Endonasal Endoscopic (EE-DCR) versus Endoscopic Trans-canalicular Laser assisted Dacryocystorhinostomy (TCDCR) for the treatment of Dacryocystitis METHODOLOGY: This study was a non-randomized control trial executed by the Department of Ophthalmology in collaboration with the Otorhinolaryngology (ENT) department at Ziauddin University Hospital Karachi. The study spanned two years, from August 2021 to July 2023. All patients were selected based on inclusion criteria, presented with complaints of epiphora in the ophthalmology department, and were assessed clinically by an ophthalmologist and ENT surgeon. The data was compiled in SPSS 23, and comparative data was analyzed using a chi-square test. RESULTS: In this research, we analyzed and compared the functional and anatomical outcomes of EEDCR versus TC-DCR. The mean age of participants was 39.4± 2.3 years in both groups. In the EE-DCR group, there were 15 men (26.3%) and 42 women (73.7%), while in the TC-DCR group, there were 13 men (22.5%) and 27 women (67.5%). The outcome for TC-DCR was successful in 90% of cases, slightly higher than 84.2% for EE-DCR. CONCLUSION: TC-DCR is considered a better surgical approach than EE-DCR because it is minimally invasive, safe and less time-consuming. The outcome of both procedures was assessed postoperatively in terms of functional and anatomical success rate, and TC-DCR showed slightly better results.

Page(s): 134-139

DOI: 10.22442/jlumhs.2024.01078

Published: Journal: Journal of Liaquat University of Medical and Health Sciences, Volume: 23, Issue: 02, Year: 2024

Keywords:

Nasolacrimal duct obstruction , Chronic dacryocystitis , Probing and syringing , Endonasal Endoscopic DCR , Transcanalicular Laser assisted DCR , Acute Dacryocystitis

References:

[1] Nowak R,Rekas M,Gospodarowicz IN,Ali MJ .2021 .Long-term outcomes of primary transcanalicular laser dacryocystorhinostomy. Graefes Arch Clin Exp Ophthalmol, 10(8) : 5-30.

[2] Pinto C,Queirós T,Ferreira C .2021 .Transcanalicular diode laser-assisted dacryocystorhinostomy - success rates and related factors during 3 years of follow-up. Semin Ophthalmol, 1890785(7) : 501-6.

[3] Yener HI,Ozcimen M. .2019 .Long-term results in transcanalicular laser and external dacryocystorhinostomy. Beyoglu Eye J, 80299(1) : 22-5.

[4] Bulut A,Aslan MG,Oner V .2021 .Transcanalicular Multidiode Laser Versus External Dacryocystorhinostomy in the Treatment of Acquired Nasolacrimal Duct Obstruction. , 04934(4) : 315-319.

[5] Akcam HT,Konuk O .2020 .Mechanical transnasal endoscopic dacryocystorhinostomy versus transcanalicular multidiode laser dacryocystorhinostomy: long-term results of a prospective study. Lasers Med Sci, 10(2) : 7-56.

[6] Mutlu D,Bayram N,Arici MK,Ozec AV,Erdogan H,Toker MI .2022 .Comparison of Outcomes of External Dacryocystorhinostomy and Transcanalicular Laser-Assisted Dacryocystorhinostomy in Patients with Primary Acquired Nasolacrimal Duct Obstruction. Klin Monbl Augenheilkd, 10(6) : 1752-803.

[7] Herzallah I,Marglani O,Alherabi A,Faraj N,Bukhari D. .2019 .Bilateral simultaneous endoscopic dacryocystorhinostomy: outcome and impact on the quality of life of the patients. Int Arch Otorhinolaryngol, 10(2) : 191-5.

[8] Goel R,Sagar C,Gupta SN,Shah S,Agarwal A,Golhait P .2023 .Outcome of transcanalicular laser dacryocystorhinostomy with endonasal augmentation in acute versus post-acute Dacryocystitis. Eye (Lond), 10(6) : 4-230.

[9] Chong KK,Abdulla HAA,Ali MJ HAA .2020 .An update on endoscopic mechanical and powered dacryocystorhinostomy in acute Dacryocystitis and lacrimal abscess. Ann Anat, 227 : 151408.

[10] Yu B,Qian Z,Han X,Tu Y,Wu W. Endoscopic Y .2020 .Endonasal Dacryocystorhinostomy With a Novel Lacrimal Ostium Stent in Chronic Dacryocystitis Cases With Small Lacrimal Sac. J Craniofac Surg, 10(5) : 00000-00000006359.

[11] Evereklioglu C,Horozoglu F,Polat OA,Sonmez HK,Sener H,Arda H H .2023 .Modified external revisionDCR in previous failed endonasal, transcanalicular or external-DCR: technical strategy and teaching Pearls for success. Rom J Ophthalmol, 4(1) : 14-19.

[12] Tariq M,Jamil AZ,Ali S,Khalid M,Akash A .2021 .Comparison of Endonasal Endoscopic Dacryocystorhinostomy with External Dacryocystorhinostomy. Pak J Ophthalmol, 10(3) : 1226-321.

[13] Hamal D,Kafle PA,Lamichhane B,Anwar A,Singh SK .2022 .Endoscopic Endonasal Dacryocystorhinostomy under Local Anesthesia or Assisted Local Anesthesia. Nepal J Ophthalmol, 10(27) : 21971-18.

[14] Jwad AA,Albusalih WA. Endoscopic,Endonasal Dacryocystorhinostomy Vs LASER-Assisted Dacryocystorhinostomy .2021 .. Ann Roman Soc Cell Biol, 25(4) : 1545-50.

[15] Havuz E,Albayrak S,Gurkaynak MN .2020 .Endoscopic Endonasal Dacryocystorhinostomy in Persistent Congenital Nasolacrimal Duct Obstructions. Acta Scientif Ophthalmol, 03(3) : 45-51.

[16] Maldhure SV,Golhar PS .2023 .Endonasal Dacryocystorhinostomy: Results with or Without Stenting. , 10(1) : .

[17] Tripti ,Havle AD,Vihapure GM,Shedge SA .2020 .Etiological Factors of Failure in Endonasal Dacryocystorhinostomy. Indian J Public Health Res Develop, 10(3) : 1487-920.

[18] Kumar S,Mishra AK,Sethi A,Mallick A,Maggon N,Sharma H .2019 .Comparing outcomes of the standard technique of endoscopic DCR with its modifications: A retrospective analysis. Otolaryngol Head Neck Surg, 10(2) : 347-54.

[19] Lunardi G,Schiavo P,Amadori R,Cellina M,Termine G. .2023 .The Endoscopic Endonasal Dacryocystorhinostomy (eDCR) in the Immunocompromised Patient. Indian J Otolaryngol Head Neck Surg, 10(Suppl 1) : 962-5.

[20] Shahid M,Awais M,Akram A,Naqvi SAH,Zafar O,Malik TM .2021 .Endoscopic Endonasal Dacryocystorhinostomy: Experience of Hundred Cases. Pak Armed Forces Med, 71(6) : 2104-2108.

[21] Aslam MA,Shahzad J .2019 .Is endonasal endoscopic Dacryocystorhinostomy is a safe and successful procedure: An audit of 106 cases. , 11(5) : 376-379.

[22] Ozturker C,Purevdorj B,Karabulut GO,Seif G,Fazil K,Khan YA .2022 .A Comparison of Transcanalicular, Endonasal, and External Dacryocystorhinostomy in Functional Epiphora: A Minimum Two-Year Follow-Up Study. J Ophthalmol, 10 : .

[23] Lemaitre S,Sarandeses-Diez T .2020 .Anatomical and functional outcomes of transcanalicular diode laser assisted dacryocystorhinostomy as a primary procedure. J Fr Ophtalmol, 05(3) : 404-408.

[24] Awais M,Naqvi SAH,Akram A,Shahid M. .1906 .Transcanalicular diode laser assisted dacryocystorhinostomy: A breakthrough in the treatment of acquired nasolacrimal duct obstruction. Pak J Med Sci, 10(4) : 804-807.

[25] Sabaner MC,Kahveci OK,Duman R,Erol MA,Çetinkaya E,Yigit K .2020 .The long-term outcomes of transcanalicular diode laser-assisted endoscopic dacryocystorhinostomy in isolated nasolacrimal duct obstruction. Gulhane Med, 1300 : 170-4.

[26] Tokat T,Tokat S,Kusbeci T. .2023 .Long-Term Outcomes of Transcanalicular Laser Dacryocystorhinostomy Versus Endonasal Dacryocystorhinostomy and a Review of the Literature. Niger J Clin Pract, 349(8) : 22-1074.

Citations

Downloads

Views