Endoscopic dacryocystorhinostomy with flap suturing.
Identifieur interne : 000B65 ( Ncbi/Merge ); précédent : 000B64; suivant : 000B66Endoscopic dacryocystorhinostomy with flap suturing.
Auteurs : Milind V. Kirtane [Inde] ; Abhineet Lall [Inde] ; Kashmira Chavan [Inde] ; Dhruv Satwalekar [Inde]Source :
- Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [ 2231-3796 ] ; 2013.
Abstract
Multiple reports have demonstrated the efficacy of endoscopic dacryocystorhinostomy (DCR). However the results of the same have varied from centre to centre. Many still regard external DCR as the gold standard. To describe an endoscopic DCR technique which anatomically simulates an external DCR and assess its results. Prospective, nonrandomized and noncomparative interventional case series. Clinical charts of patients with nasolacrimal duct obstruction based on symptomatic, clinical and radiological basis were included in the study. All surgeries were done endonasally using standard operative technique. The modification in the standard technique included creating a wide exposure of the lacrimal sac, incising the sac and the suturing the medial wall of the lacrimal sac with the lateral nasal wall. The same was achieved by using either vascular clips or 5.0 vicryl sutures. Twenty (11 females and 9 males) were included in the study. The average age of the patients was 56.86 years old (range 27-85 years old). The main presenting symptom was epiphora and 1 patient with mucocele. Successful outcome was measured in terms of relief of sympto anatomical patency assessed by sac syringing and nasal endoscopy showing a wide patent lumen. A primary success rate of 95% and ultimate rate of 100% was achieved in the cases with a nasolacrimal duct (NLD) block while an overall success rate of 82.6% was noted when the cases with NLD block and common canalicular block were considered together. Endoscopic DCR can now easily replace external DCR as a standard. It is not only minimally invasive, but has minimal complications and using this technique, we have been able to achieve very high success rates.
DOI: 10.1007/s12070-011-0354-z
PubMed: 24427653
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However the results of the same have varied from centre to centre. Many still regard external DCR as the gold standard. To describe an endoscopic DCR technique which anatomically simulates an external DCR and assess its results. Prospective, nonrandomized and noncomparative interventional case series. Clinical charts of patients with nasolacrimal duct obstruction based on symptomatic, clinical and radiological basis were included in the study. All surgeries were done endonasally using standard operative technique. The modification in the standard technique included creating a wide exposure of the lacrimal sac, incising the sac and the suturing the medial wall of the lacrimal sac with the lateral nasal wall. The same was achieved by using either vascular clips or 5.0 vicryl sutures. Twenty (11 females and 9 males) were included in the study. The average age of the patients was 56.86 years old (range 27-85 years old). The main presenting symptom was epiphora and 1 patient with mucocele. Successful outcome was measured in terms of relief of sympto anatomical patency assessed by sac syringing and nasal endoscopy showing a wide patent lumen. A primary success rate of 95% and ultimate rate of 100% was achieved in the cases with a nasolacrimal duct (NLD) block while an overall success rate of 82.6% was noted when the cases with NLD block and common canalicular block were considered together. Endoscopic DCR can now easily replace external DCR as a standard. It is not only minimally invasive, but has minimal complications and using this technique, we have been able to achieve very high success rates.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="PubMed-not-MEDLINE"><PMID Version="1">24427653</PMID><DateCreated><Year>2014</Year><Month>01</Month><Day>15</Day></DateCreated><DateCompleted><Year>2014</Year><Month>01</Month><Day>15</Day></DateCompleted><DateRevised><Year>2014</Year><Month>08</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2231-3796</ISSN><JournalIssue CitedMedium="Print"><Volume>65</Volume><Issue>Suppl 2</Issue><PubDate><Year>2013</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India</Title><ISOAbbreviation>Indian J Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>Endoscopic dacryocystorhinostomy with flap suturing.</ArticleTitle><Pagination><MedlinePgn>236-41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s12070-011-0354-z</ELocationID><Abstract><AbstractText>Multiple reports have demonstrated the efficacy of endoscopic dacryocystorhinostomy (DCR). However the results of the same have varied from centre to centre. Many still regard external DCR as the gold standard. To describe an endoscopic DCR technique which anatomically simulates an external DCR and assess its results. Prospective, nonrandomized and noncomparative interventional case series. Clinical charts of patients with nasolacrimal duct obstruction based on symptomatic, clinical and radiological basis were included in the study. All surgeries were done endonasally using standard operative technique. The modification in the standard technique included creating a wide exposure of the lacrimal sac, incising the sac and the suturing the medial wall of the lacrimal sac with the lateral nasal wall. The same was achieved by using either vascular clips or 5.0 vicryl sutures. Twenty (11 females and 9 males) were included in the study. The average age of the patients was 56.86 years old (range 27-85 years old). The main presenting symptom was epiphora and 1 patient with mucocele. Successful outcome was measured in terms of relief of sympto anatomical patency assessed by sac syringing and nasal endoscopy showing a wide patent lumen. A primary success rate of 95% and ultimate rate of 100% was achieved in the cases with a nasolacrimal duct (NLD) block while an overall success rate of 82.6% was noted when the cases with NLD block and common canalicular block were considered together. Endoscopic DCR can now easily replace external DCR as a standard. It is not only minimally invasive, but has minimal complications and using this technique, we have been able to achieve very high success rates.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kirtane</LastName><ForeName>Milind V</ForeName><Initials>MV</Initials><AffiliationInfo><Affiliation>P D Hinduja Hospital & Medical Research Centre, Mahim, Mumbai, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lall</LastName><ForeName>Abhineet</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>P D Hinduja Hospital & Medical Research Centre, Mahim, Mumbai, India ; Kirtane Clinic, 1st Floor, Amar Bhuvan, French Bridge, Near Opera House, Mumbai, 400007 India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chavan</LastName><ForeName>Kashmira</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>P D Hinduja Hospital & Medical Research Centre, Mahim, Mumbai, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Satwalekar</LastName><ForeName>Dhruv</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>P D Hinduja Hospital & Medical Research Centre, Mahim, Mumbai, India ; Cumballa Hill Hospital, Mumbai, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>12</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Otolaryngol Head Neck Surg</MedlineTA><NlmUniqueID>9422551</NlmUniqueID><ISSNLinking>2231-3796</ISSNLinking></MedlineJournalInfo><OtherID Source="NLM">PMC3738795</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Dacrycystorhinostomy</Keyword><Keyword MajorTopicYN="N">Dacryocystitis</Keyword><Keyword MajorTopicYN="N">Endoscopic surgical procedure</Keyword><Keyword MajorTopicYN="N">Lacrimal</Keyword><Keyword MajorTopicYN="N">Lacrimal apparatus</Keyword><Keyword MajorTopicYN="N">Lacrimal apparatus disease</Keyword><Keyword MajorTopicYN="N">Lacrimal duct</Keyword><Keyword MajorTopicYN="N">Lacrimal duct obstruction</Keyword><Keyword MajorTopicYN="N">Lacrimal gland</Keyword><Keyword MajorTopicYN="N">Mucocele</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>2</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>11</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="epublish"><Year>2011</Year><Month>12</Month><Day>7</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>1</Month><Day>16</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s12070-011-0354-z</ArticleId><ArticleId IdType="pii">354</ArticleId><ArticleId IdType="pubmed">24427653</ArticleId><ArticleId IdType="pmc">PMC3738795</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Kirtane, Milind V" sort="Kirtane, Milind V" uniqKey="Kirtane M" first="Milind V" last="Kirtane">Milind V. Kirtane</name></noRegion><name sortKey="Chavan, Kashmira" sort="Chavan, Kashmira" uniqKey="Chavan K" first="Kashmira" last="Chavan">Kashmira Chavan</name><name sortKey="Lall, Abhineet" sort="Lall, Abhineet" uniqKey="Lall A" first="Abhineet" last="Lall">Abhineet Lall</name><name sortKey="Satwalekar, Dhruv" sort="Satwalekar, Dhruv" uniqKey="Satwalekar D" first="Dhruv" last="Satwalekar">Dhruv Satwalekar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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