scholarly journals First results of endonasal balloon dacryoplasty use in recurrence after dacryocystorhinostomy

2021 ◽  
Vol 13 (3) ◽  
pp. 81-86
Author(s):  
Eugeniya L. At’kova ◽  
Nikolay N. Krakhovetskiy ◽  
Oleg V. Zhukov
Keyword(s):  
Computed Tomography ◽  
Optical Coherence Tomography ◽  
Drainage System ◽  
Statistical Processing ◽  
Lacrimal Drainage System ◽  
Clinical Observations ◽  
First Results ◽  
Horizontal Part ◽  
Lacrimal Drainage

Background. In recurrent dacryocystitis after dacryocystorhinostomy, a re-operation is indicated. In recent years, some publications appeared concerning endonasal dacryoplasty using 9 mm-balloon in treatment of patients with recurrent dacryocystitis. Purpose to evaluate the possibility of using endonasal balloon dacryoplasty in recurrence after dacryocystorhinostomy. Materials and methods. Into the study, 6 patients (6 cases) were included who underwent endonasal endoscopic dacryocystorhinostomy for dacryocystitis 1-3 years before. In all patients, evaluation of Munks scores for epiphora, optical coherence tomography (OCT) based lacrimal meniscometry, dye disappearance test, lacrimal drainage system syringing and probing of its horizontal part, nasal endoscopy, multispiral computed tomography of lacrimal drainage system with contrast enhancement. In all patients, endonasal dacryoplasty using a balloon with 6 mm diameter was carried out. The follow-up period after surgery was 6 months. Results. In 4 patients, recovery was achieved, in 1 patient improvement was obtained, in 1 patient there was dacryostoma cicatrization. Conclusion. Preliminary results received in this study of the balloon dacryoplasty performed in 6 patients afford ground to consider it possible to use this method in patients with dacryocystitis recurrence after dacryocystorhinostomy. The matter of the prospects when using this method may be solved after further research aimed to increase the number of clinical observations to enhance the possibility of adequate statistical processing of obtained results, to extend the postoperative follow-up period, to develop the indications for this procedure, and to investigate the necessity in additional manipulations improving the effectiveness of endonasal balloon dacryoplasty.

Computed Tomography of the Lacrimal Drainage System

1999 ◽  
Vol 15 (3) ◽  
pp. 217-226 ◽  
Author(s):  
Ian C. Francis ◽  
Medduma B. Kappagoda ◽  
Ian E. Cole ◽  
Leonard Bank ◽  
Graham D. Dunn
Keyword(s):  
Computed Tomography ◽  
Drainage System ◽  
Lacrimal Drainage System ◽  
Lacrimal Drainage

Use of an image-guided navigation system for routine endonasal endoscopic dacryocystorhinostomy

2019 ◽  
Vol 133 (8) ◽  
pp. 685-690
Author(s):  
O Reichel ◽  
M Taxeidis
Keyword(s):  
Computed Tomography ◽  
Drainage System ◽  
Nasolacrimal Duct ◽  
Success Rates ◽  
Site Location ◽  
Endoscopic Dacryocystorhinostomy ◽  
Silicone Stent ◽  
Study Population ◽  
Lacrimal Drainage

AbstractObjectiveThis study aimed to evaluate the results of routine endonasal endoscopic dacryocystorhinostomy combined with computed tomography guided navigation in patients with nasolacrimal duct obstruction.MethodThis was a retrospective study of all patients with lacrimal drainage obstruction undergoing stereotactic endoscopic dacryocystorhinostomy between 1st January 2016 and 1st April 2018. Computed tomography dacryocystography was used for intra-operative navigation. Patients with a presaccal obstruction site location were excluded from the study.ResultsEndoscopic dacryocystorhinostomy with computed tomography guided navigation was successfully performed in all 17 cases without complications. Early post-operative dislocation of the inserted bicanalicular silicone stent occurred in two patients. Two other patients developed post-operative bacterial infection within the lacrimal sac. Otherwise, the silicone tube was removed three months after surgery, and after further follow up of 8 weeks, 94 per cent of the study population reported complete remission of epiphora.ConclusionThe use of computed tomography guidance in routine endoscopic dacryocystorhinostomy enhanced safety for the patient and avoided unnecessary damage of bone and mucosa surrounding the lacrimal drainage system. Therefore, routine endoscopic dacryocystorhinostomy with additional stereotactic guidance by computed tomography navigation can contribute to high success rates with endoscopic dacryocystorhinostomy.

Squamous Cell Carcinoma of the Lacrimal Drainage System: Case Report and Literature Review

1998 ◽  
Vol 84 (4) ◽  
pp. 506-510 ◽  
Author(s):  
Antonella De Stefani ◽  
Walter Lerda ◽  
Antonio Usai ◽  
Andrea Cavalot ◽  
Paola Riella ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Soft Tissues ◽  
Drainage System ◽  
Radiographic Examination ◽  
Resection Margins ◽  
Lacrimal Drainage System ◽  
Lacrimal Drainage

Aims and background Epithelial malignant tumors of the lacrimal drainage system are rare. The most prevalent type is squamous cell carcinoma. These tumors generally present with aspecific symptoms suggestive of chronic dacryocystitis, with the result that diagnosis and treatment are often delayed. Methods and study design We present the case of a patient with a squamous cell carcinoma of the lacrimal ducts and discuss the clinical and pathological features of these neoplasms, together with diagnostic and therapeutic strategies according to the data available in the literature. Results and conclusion The diagnostic and therapeutic approach to this kind of rare tumors has to be planned carefully. Radiographic examination of all masses arising in the medial canthus is essential. Dacryocystography allows the identification of space-occupying tumors in the lacrimal sac. Computed tomography and magnetic resonance imaging provide the most useful information about the extent of the neoplasm and its relationship with surrounding bone structures and soft tissues. Histological examination of a biopsy sample obtained by standard dacryocystectomy is essential to confirm the diagnosis. The treatment of choice is primarily surgical, consisting of complete resection with long-term follow-up. A number of surgical procedures have been described, which are more or less aggressive depending on the extension of the tumor. Radiotherapy is indicated when bone or lymphatic invasion is evident, and when neoplastic cells are present in the resection margins. Radiotherapy alone is not considered a treatment of choice, but only a palliative option in selected cases. The follow-up data available in the literature are incomplete. In most of the literature reports, relapse occurs in 50% of patients within 5 years.

Dacryocystographic Findings in Unilateral Epiphora with Patent Lacrimal Drainage System

2013 ◽  
Vol 54 (6) ◽  
pp. 839 ◽  
Author(s):  
Tae Hyup Kim ◽  
Jung Hye Lee ◽  
Jung Hyun Ahn ◽  
Jung Hoon Kim ◽  
Yoon Duck Kim ◽  
...  
Keyword(s):  
Drainage System ◽  
Lacrimal Drainage System ◽  
Lacrimal Drainage
Sign in / Sign up

Export Citation Format

Share Document