Powered Endoscopic Dacryocystorhinostomy With Selective Stenting

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dc.contributor.authorCallejas, Claudio A.
dc.contributor.authorTewfik, Marc A.
dc.contributor.authorWormald, Peter John
dc.date.accessioned2024-01-10T12:41:37Z
dc.date.available2024-01-10T12:41:37Z
dc.date.issued2010
dc.description.abstractObjectives/Hypothesis: To compare surgical outcomes of primary powered endoscopic dacryocystorhinostomy (DCR) with selective or routine silicone stenting in anatomic and functional nasolacrimal duct obstruction (NLDO).
dc.description.abstractStudy Design: Prospective nonrandomized cohort study with historical control group.
dc.description.abstractMethods: Thirty-one consecutive primary powered endoscopic DCR procedures with selective stenting were performed for anatomic or functional NLDO. No stenting was used unless a tight Rosenmuller valve was appreciated when probing nasolacrimal system during surgery. Nasolacrimal system irrigation, dacryocystography, and lacrimal scintigraphy were used for preoperative assessment. Success was defined as absence of symptoms and patent nasolacrimal system. Comparisons were made with a historical cohort of 31 consecutive primary powered endoscopic DCR procedures with routine stenting.
dc.description.abstractResults: The overall success rate was 79% (49/62), with 96.3% (26/27) success for anatomic and 65.7% (23/35) for functional NLDO. Success rates for anatomic NLDO were 100% (8/8) with selective stenting and 94.7% (18/19) with routine stenting (P > .05). Success rates for functional NLDO were 60.9% (14/23) with selective stenting and 75% (9/12) with routine stenting (P > .05). In the selective stenting group, 2/8 of the anatomic obstructions and 8/23 of the functional obstructions required stents.
dc.description.abstractConclusions: Our study suggests that there is no difference in surgical outcomes of primary powered endoscopic DCR with selective or routine stenting in both anatomic and functional NLDO. We advocate a selective stenting approach for primary endoscopic DCR, whereby stents are only inserted when a tight common canaliculus opening is found during surgery.
dc.fechaingreso.objetodigital2024-04-27
dc.format.extent4 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1002/lary.20916
dc.identifier.eissn1531-4995
dc.identifier.issn0023-852X
dc.identifier.pubmedidMEDLINE:20564733
dc.identifier.urihttps://doi.org/10.1002/lary.20916
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77435
dc.identifier.wosidWOS:000279498500030
dc.information.autorucMedicina;Callejas CA;S/I;15885
dc.issue.numero7
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final1452
dc.pagina.inicio1449
dc.publisherWILEY
dc.revistaLARYNGOSCOPE
dc.rightsacceso restringido
dc.subjectDacryocystorhinostomy
dc.subjectepiphora
dc.subjectsilicone stenting
dc.subjectanatomical nasolacrimal duct obstruction
dc.subjectfunctional nasolacrimal duct obstruction
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePowered Endoscopic Dacryocystorhinostomy With Selective Stenting
dc.typeartículo
dc.volumen120
sipa.codpersvinculados15885
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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