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: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2014
|
| 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 |
| _version_ | 1848878591472828416 |
|---|---|
| author | Tai, Evelyn Li Min Tevaraj, Jessica Mani Penny Wan Hitam, Wan Hazabbah Ramza, Ramiza Abdullah, Baharudin Hussein, Adil |
| author_facet | Tai, Evelyn Li Min Tevaraj, Jessica Mani Penny Wan Hitam, Wan Hazabbah Ramza, Ramiza Abdullah, Baharudin Hussein, Adil |
| author_sort | Tai, Evelyn Li Min |
| building | USM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T17:33:46Z |
| format | Article |
| id | usm-38880 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T17:33:46Z |
| publishDate | 2014 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-388802018-02-13T07:42:19Z http://eprints.usm.my/38880/ Effect of stenting and mucosal flap preservation on outcome of endoscopic dacryocystorhinostomy Tai, Evelyn Li Min Tevaraj, Jessica Mani Penny Wan Hitam, Wan Hazabbah Ramza, Ramiza Abdullah, Baharudin Hussein, Adil RE Ophthalmology 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. Press of International Journal of Ophthalmology (IJO PRESS) 2014 Article PeerReviewed application/pdf en http://eprints.usm.my/38880/1/Effect_of_stenting_and_mucosal_flap_preservation_on_outcome_of.pdf Tai, Evelyn Li Min and Tevaraj, Jessica Mani Penny and Wan Hitam, Wan Hazabbah and Ramza, Ramiza and Abdullah, Baharudin and Hussein, Adil (2014) Effect of stenting and mucosal flap preservation on outcome of endoscopic dacryocystorhinostomy. Guoji Yanke Zazhi, 14 (3). pp. 381-385. ISSN 1672-5123 https://doi.org/10.3980/j.issn.1672-5123.2014.03.01 |
| spellingShingle | RE Ophthalmology Tai, Evelyn Li Min Tevaraj, Jessica Mani Penny Wan Hitam, Wan Hazabbah Ramza, Ramiza Abdullah, Baharudin Hussein, Adil Effect of stenting and mucosal flap preservation on outcome of endoscopic dacryocystorhinostomy |
| title | Effect of stenting and mucosal flap preservation on
outcome of endoscopic dacryocystorhinostomy |
| title_full | Effect of stenting and mucosal flap preservation on
outcome of endoscopic dacryocystorhinostomy |
| title_fullStr | Effect of stenting and mucosal flap preservation on
outcome of endoscopic dacryocystorhinostomy |
| title_full_unstemmed | Effect of stenting and mucosal flap preservation on
outcome of endoscopic dacryocystorhinostomy |
| title_short | Effect of stenting and mucosal flap preservation on
outcome of endoscopic dacryocystorhinostomy |
| title_sort | effect of stenting and mucosal flap preservation on
outcome of endoscopic dacryocystorhinostomy |
| topic | RE Ophthalmology |
| url | http://eprints.usm.my/38880/ http://eprints.usm.my/38880/ http://eprints.usm.my/38880/1/Effect_of_stenting_and_mucosal_flap_preservation_on_outcome_of.pdf |