Endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction: creating a window with a drill without use of mucosal flaps.


CONCLUSION:Success and complication rates of endoscopic dacrycystorhinostomy (DCR) creating a window with a drill and without using mucosal flaps are similar to those of external DCR. Moreover, any intranasal or paranasal disease can be treated simultaneously and a superior cosmetic result is achieved. OBJECTIVES:To present success and complication rates of a case series of patients treated with the same technique of endoscopic DCR for acquired nasolacrimal duct obstruction (NLDO). PATIENTS AND METHODS:This was a retrospective case review of 46 patients (25 female, 21 male; mean age 57 years). All patients had acquired NLDO with epiphora. Additionally, chronic dacryocystitis was evident at presentation in five patients. The cause of NLDO was primary acquired NLDO in 35 patients and lacrimal sac mucocele in 11 patients. An endonasal endoscopic approach using a drill was performed. Temporary silicone stenting of the nasolacrimal duct system was applied. In 19 patients additional surgery (11 FESS, 3 septoplasties, 5 FESS and septoplasty) was necessary. Patient follow-up ranged between 3 and 27 months. RESULTS:A successful functional result was obtained in 97.8% of patients. No major complications were observed. Minor complications (acute dacryocystitis or periorbital ecchymosis) occurred in four patients and were treated with antibiotics or resolved spontaneously.


Acta Otolaryngol


Acta oto-laryngologica


Saratziotis A,Emanuelli E,Gouveris H,Babighian G




Has Abstract


2009-09-01 00:00:00














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    abstract:CONCLUSION:Cochlear implantation assessment is possible using commercially available standard flat-detector computed tomography (FD-CT) protocols. Image quality is superior to multislice CT (MSCT). The radiation dose of FD-CT is lower in comparison with MSCT standard protocols and may therefore overcome the limitations...

    journal_title:Acta oto-laryngologica

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    authors: Struffert T,Hertel V,Kyriakou Y,Krause J,Engelhorn T,Schick B,Iro H,Hornung J,Doerfler A

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  • Tumor stromal desmoplasia and inflammatory response uniquely predict survival with and without stratification for HPV tumor infection in OPSCC patients.

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    authors: Haave H,Gulati S,Brekke J,Lybak S,Vintermyr OK,Aarstad HJ

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  • Histological study of chronic electrode implantation through the round window of the guinea pig.

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    journal_title:Acta oto-laryngologica

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    authors: Gyo K

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    authors: Azzena GB,Mameli O,Tolu E

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  • Laser surgery versus radiotherapy for T1a glottic carcinoma: a meta-analysis of oncologic outcomes.

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    pub_type: 杂志文章


    authors: Colletti V,Fiorino FG,Indelicato T

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    authors: Skarzynski H,Lorens A,Piotrowska A,Anderson I

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    authors: Thomsen J,Bretlau P,Kristensen HK

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    authors: Hammarstedt L,Dahlstrand H,Lindquist D,Onelöv L,Ryott M,Luo J,Dalianis T,Ye W,Munck-Wikland E

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    pub_type: 临床试验,杂志文章,评审


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    authors: Odkvist LM,Thell J,von Essen C

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    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章


    authors: Declercq A,Van den Hauwe L,Van Marck E,Van de Heyning PH,Spanoghe M,De Schepper AM

    更新日期:1998-11-01 00:00:00

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    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章


    authors: Sasaki O,Taguchi K,Kikukawa M,Ogiba T

    更新日期:1993-07-01 00:00:00

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    journal_title:Acta oto-laryngologica

    pub_type: 杂志文章


    authors: Müller C,Stoll W,Schmäl F

    更新日期:2003-05-01 00:00:00