Nasolacrimal recanalization as an alternative to external dacryocystorhinostomy for treating failed nasolacrimal duct intubation
To compare the surgical duration and clinical outcomes of nasolacrimal recanalization versus external dacryocystorhinostomy (DCR) in the treatment of failed nasolacrimal duct intubation.This is a retrospective, comparative, and interventional study. We evaluated the outcomes of 66 consecutive patien...
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| Veröffentlicht in: | Medicine (Baltimore) 2016-07, Vol.95 (30), p.e4350-e4350 |
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| creator | Hong, Jiaxu Qian, Tingting Wei, Anji Sun, Zhongmou Wu, Dan Chen, Yihe Marmalidou, Anna Lu, Yi Sun, Xinghuai Liu, Zuguo Amparo, Francisco Xu, Jianjiang |
| description | To compare the surgical duration and clinical outcomes of nasolacrimal recanalization versus external dacryocystorhinostomy (DCR) in the treatment of failed nasolacrimal duct intubation.This is a retrospective, comparative, and interventional study. We evaluated the outcomes of 66 consecutive patients undergoing either nasolacrimal recanalization (n = 32) or DCR (n = 34) in a tertiary lacrimal disease referral center. Length of surgical duration, clinical outcomes, and rate of recurrence at 18 months postoperatively were compared.The mean surgical duration was 18.5 minutes (range, 15-25 minutes) for nasolacrimal recanalization and 48.2 minutes (range, 45-61 minutes) for DCR, respectively (P |
| doi_str_mv | 10.1097/MD.0000000000004350 |
| format | Article |
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We evaluated the outcomes of 66 consecutive patients undergoing either nasolacrimal recanalization (n = 32) or DCR (n = 34) in a tertiary lacrimal disease referral center. Length of surgical duration, clinical outcomes, and rate of recurrence at 18 months postoperatively were compared.The mean surgical duration was 18.5 minutes (range, 15-25 minutes) for nasolacrimal recanalization and 48.2 minutes (range, 45-61 minutes) for DCR, respectively (P < 0.001). The rate of success was 84.4% in the recanalization group and 85.3% in the DCR group, respectively (P = 0.91). The time to recurrence was 2.6 ± 1.1 months in the recanalization group and 5.6 ± 2.1 months in the DCR group (P < 0.001). Five failed cases in each group received a secondary DCR surgery with the same resolution rate (40%). The absence of ocular discharge at baseline was a significant predictor for a successful outcome in the recanalization group (P = 0.04) but not in the DCR group (P = 0.63).Nasolacrimal recanalization is an effective, safe, and time-saving alternative to DCR for the treatment of failed nasolacrimal duct intubation. Clinicians should be cautious in patients with discharge.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000004350</identifier><identifier>PMID: 27472722</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Aged ; Cohort Studies ; Dacryocystorhinostomy ; Female ; Follow-Up Studies ; Humans ; Intubation ; Male ; Middle Aged ; Nasolacrimal Duct - surgery ; Observational Study ; Operative Time ; Recurrence ; Reoperation ; Retrospective Studies ; Treatment Failure ; Treatment Outcome</subject><ispartof>Medicine (Baltimore), 2016-07, Vol.95 (30), p.e4350-e4350</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5208-c0426e9d8baa22a9d7e8d1f67e587309096795dcaf62ee6f24eb0625f0ee5bc63</citedby><cites>FETCH-LOGICAL-c5208-c0426e9d8baa22a9d7e8d1f67e587309096795dcaf62ee6f24eb0625f0ee5bc63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265859/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265859/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27472722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Jiaxu</creatorcontrib><creatorcontrib>Qian, Tingting</creatorcontrib><creatorcontrib>Wei, Anji</creatorcontrib><creatorcontrib>Sun, Zhongmou</creatorcontrib><creatorcontrib>Wu, Dan</creatorcontrib><creatorcontrib>Chen, Yihe</creatorcontrib><creatorcontrib>Marmalidou, Anna</creatorcontrib><creatorcontrib>Lu, Yi</creatorcontrib><creatorcontrib>Sun, Xinghuai</creatorcontrib><creatorcontrib>Liu, Zuguo</creatorcontrib><creatorcontrib>Amparo, Francisco</creatorcontrib><creatorcontrib>Xu, Jianjiang</creatorcontrib><title>Nasolacrimal recanalization as an alternative to external dacryocystorhinostomy for treating failed nasolacrimal duct intubation</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>To compare the surgical duration and clinical outcomes of nasolacrimal recanalization versus external dacryocystorhinostomy (DCR) in the treatment of failed nasolacrimal duct intubation.This is a retrospective, comparative, and interventional study. We evaluated the outcomes of 66 consecutive patients undergoing either nasolacrimal recanalization (n = 32) or DCR (n = 34) in a tertiary lacrimal disease referral center. Length of surgical duration, clinical outcomes, and rate of recurrence at 18 months postoperatively were compared.The mean surgical duration was 18.5 minutes (range, 15-25 minutes) for nasolacrimal recanalization and 48.2 minutes (range, 45-61 minutes) for DCR, respectively (P < 0.001). The rate of success was 84.4% in the recanalization group and 85.3% in the DCR group, respectively (P = 0.91). The time to recurrence was 2.6 ± 1.1 months in the recanalization group and 5.6 ± 2.1 months in the DCR group (P < 0.001). Five failed cases in each group received a secondary DCR surgery with the same resolution rate (40%). The absence of ocular discharge at baseline was a significant predictor for a successful outcome in the recanalization group (P = 0.04) but not in the DCR group (P = 0.63).Nasolacrimal recanalization is an effective, safe, and time-saving alternative to DCR for the treatment of failed nasolacrimal duct intubation. Clinicians should be cautious in patients with discharge.</description><subject>Adult</subject><subject>Aged</subject><subject>Cohort Studies</subject><subject>Dacryocystorhinostomy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intubation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasolacrimal Duct - surgery</subject><subject>Observational Study</subject><subject>Operative Time</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Treatment Failure</subject><subject>Treatment Outcome</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUU1v1DAQtRCIbgu_AAn5yCVl4sR2fEFCLQWkll7gbDnOpGvw2sV2WrYnfnqzu6VaOgePPPM-RnqEvKnhuAYl31-cHsNetQ2HZ2RR80ZUXIn2OVkAMF5JJdsDcpjzT4C6kax9SQ6YbCWTjC3I328mR29scivjaUJrgvHuzhQXAzWZmvn1BVOYJzdIS6T4Z_v1dJhZ62jXucS0dCHOfbWmY0y0JJzh4YqOxnkcaNj3GCZbqAtl6rcmr8iL0fiMrx_6Eflx9un7yZfq_PLz15OP55XlDLrKQssEqqHrjWHMqEFiN9SjkMg72YACJaTigzWjYIhiZC32IBgfAZH3VjRH5MNO93rqVzhYDCUZr683R6W1jsbp_zfBLfVVvNGcCd5xNQu8exBI8feEueiVyxa9NwHjlHXdgeyk2EGbHdSmmHPC8dGmBr3JTl-c6qfZzay3-xc-cv6FNQPaHeA2biLJv_x0i0kvcU5oudXjUrGKQS1AMgHVZtI192dLqZM</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Hong, Jiaxu</creator><creator>Qian, Tingting</creator><creator>Wei, Anji</creator><creator>Sun, Zhongmou</creator><creator>Wu, Dan</creator><creator>Chen, Yihe</creator><creator>Marmalidou, Anna</creator><creator>Lu, Yi</creator><creator>Sun, Xinghuai</creator><creator>Liu, Zuguo</creator><creator>Amparo, Francisco</creator><creator>Xu, Jianjiang</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160701</creationdate><title>Nasolacrimal recanalization as an alternative to external dacryocystorhinostomy for treating failed nasolacrimal duct intubation</title><author>Hong, Jiaxu ; Qian, Tingting ; Wei, Anji ; Sun, Zhongmou ; Wu, Dan ; Chen, Yihe ; Marmalidou, Anna ; Lu, Yi ; Sun, Xinghuai ; Liu, Zuguo ; Amparo, Francisco ; Xu, Jianjiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5208-c0426e9d8baa22a9d7e8d1f67e587309096795dcaf62ee6f24eb0625f0ee5bc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cohort Studies</topic><topic>Dacryocystorhinostomy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intubation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasolacrimal Duct - surgery</topic><topic>Observational Study</topic><topic>Operative Time</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Treatment Failure</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hong, Jiaxu</creatorcontrib><creatorcontrib>Qian, Tingting</creatorcontrib><creatorcontrib>Wei, Anji</creatorcontrib><creatorcontrib>Sun, Zhongmou</creatorcontrib><creatorcontrib>Wu, Dan</creatorcontrib><creatorcontrib>Chen, Yihe</creatorcontrib><creatorcontrib>Marmalidou, Anna</creatorcontrib><creatorcontrib>Lu, Yi</creatorcontrib><creatorcontrib>Sun, Xinghuai</creatorcontrib><creatorcontrib>Liu, Zuguo</creatorcontrib><creatorcontrib>Amparo, Francisco</creatorcontrib><creatorcontrib>Xu, Jianjiang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Jiaxu</au><au>Qian, Tingting</au><au>Wei, Anji</au><au>Sun, Zhongmou</au><au>Wu, Dan</au><au>Chen, Yihe</au><au>Marmalidou, Anna</au><au>Lu, Yi</au><au>Sun, Xinghuai</au><au>Liu, Zuguo</au><au>Amparo, Francisco</au><au>Xu, Jianjiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nasolacrimal recanalization as an alternative to external dacryocystorhinostomy for treating failed nasolacrimal duct intubation</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>95</volume><issue>30</issue><spage>e4350</spage><epage>e4350</epage><pages>e4350-e4350</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>To compare the surgical duration and clinical outcomes of nasolacrimal recanalization versus external dacryocystorhinostomy (DCR) in the treatment of failed nasolacrimal duct intubation.This is a retrospective, comparative, and interventional study. We evaluated the outcomes of 66 consecutive patients undergoing either nasolacrimal recanalization (n = 32) or DCR (n = 34) in a tertiary lacrimal disease referral center. Length of surgical duration, clinical outcomes, and rate of recurrence at 18 months postoperatively were compared.The mean surgical duration was 18.5 minutes (range, 15-25 minutes) for nasolacrimal recanalization and 48.2 minutes (range, 45-61 minutes) for DCR, respectively (P < 0.001). The rate of success was 84.4% in the recanalization group and 85.3% in the DCR group, respectively (P = 0.91). The time to recurrence was 2.6 ± 1.1 months in the recanalization group and 5.6 ± 2.1 months in the DCR group (P < 0.001). Five failed cases in each group received a secondary DCR surgery with the same resolution rate (40%). The absence of ocular discharge at baseline was a significant predictor for a successful outcome in the recanalization group (P = 0.04) but not in the DCR group (P = 0.63).Nasolacrimal recanalization is an effective, safe, and time-saving alternative to DCR for the treatment of failed nasolacrimal duct intubation. Clinicians should be cautious in patients with discharge.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>27472722</pmid><doi>10.1097/MD.0000000000004350</doi><oa>free_for_read</oa></addata></record> |
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| source | Wolters Kluwer Open Health; MEDLINE; DOAJ Directory of Open Access Journals; IngentaConnect Free/Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Cohort Studies Dacryocystorhinostomy Female Follow-Up Studies Humans Intubation Male Middle Aged Nasolacrimal Duct - surgery Observational Study Operative Time Recurrence Reoperation Retrospective Studies Treatment Failure Treatment Outcome |
| title | Nasolacrimal recanalization as an alternative to external dacryocystorhinostomy for treating failed nasolacrimal duct intubation |
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