Comparison of surgical outcomes in primary endoscopic dacryocystorhinostomy with and without silicone intubation.
The surgical outcome of endoscopic endonasal dacryocystorhinostomy was analyzed in 30 cases of postsaccal stenosis. Intubation with silicone tubing was used in 14 cases (46.7%) and not used in 16 cases (53.3%). Surgical success was evaluated subjectively and objectively. The patients' complaints were improved in 85.7% of cases in the intubation group, and in 81.3% of the group in which no stent was used. Postoperative endoscopic examinations revealed that the rhinostomy opening was visible in 11 cases without intubation (68.8%) and 9 cases with intubation (64.3%). Six patients in the intubation group (42.9%) had granulation tissue at the rhinostomy site. Four patients (28.6%) had complaints regarding the intubation. Considering the similar surgical success rates, and the granulation formation, patient discomfort, and cost related to intubation, we recommend endoscopic dacryocystorhinostomy without intubation as the treatment of choice in cases of chronic epiphora due to postsaccal stenosis of the lacrimal canal.
Department of Otorhinolaryngology, Celal Bayar University School of Medicine, Manisa, Turkey.
H Halis
HH
Unlu
Baris
B
Toprak
Asim
A
Aslan
Cenap
C
Guler
D000328:Adult; D016022:Case-Control Studies; D003608:Dacryocystorhinostomy / Q000295:instrumentation / Q000379:methods*; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007440:Intubation; D007766:Lacrimal Apparatus Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012828:Silicones; D013997:Time Factors
D012828:Silicones