Effect of stenting and mucosal flap preservation on outcome of endoscopic dacryocystorhinostomy
AIM: To determine the effect of stenting and flap preservation on the outcome of endoscopic dacryocystorhinostomy. METHODS: Retrospective study of all endoscopic dacryocystorhinostomy cases performed between 2007 - 2011 at Hospital Universiti Sains Malaysia. A total of 25 cases with nasolacrim...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2014
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| Subjects: | |
| Online Access: | http://eprints.usm.my/38880/ http://eprints.usm.my/38880/1/Effect_of_stenting_and_mucosal_flap_preservation_on_outcome_of.pdf |
| Summary: | AIM: To determine the effect of stenting and flap
preservation on the outcome of endoscopic
dacryocystorhinostomy.
METHODS: Retrospective study of all endoscopic
dacryocystorhinostomy cases performed between 2007 -
2011 at Hospital Universiti Sains Malaysia. A total of 25
cases with nasolacrimal duct obstruction underwent this
procedure. Outcome of endoscopic dacryocystorhinostomy
was evaluated based on relief of epiphora and anatomical
patency by lacrimal syringing and nasal endoscopy upon
follow-up at 1, 6 and 12 months post- op. The outcome
was considered to be successful only if all three criteria
were fulfilled at one year follow - up post - op. Multiple
logistic regression was used to determine the association
of stenting and flap creation with a successful outcome.
RESULTS: Stents were inserted in 13 cases out of 25, and likewise for flaps. The success rate of endoscopic
dacryocystorhinostomy at one year post - op was 64% .
There was no significant association of stenting with
outcome (P = 0. 694), whereas mucosal flap creation was
significantly associated with a better outcome (adjusted
OR= 7.926; 95%CI: 1. 172-53. 620, P = 0. 034). The main postoperative
complication was adhesions, which occurred in
50% of cases. There was no significant association
between stenting or flap preservation with complications.
CONCLUSION: Preservation of a mucosal flap is
significantly associated with a successful outcome of
endoscopic dacryocystorhinostomy in nasolacrimal duct
obstruction, while stenting is not. Neither stenting nor
mucosal flap creation is significantly associated with
complications. |
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