Back to Search
Start Over
Nasal flap preservation in endoscopic dacryocystorhinostomy for nasolacrimal duct obstruction
- Source :
- International Journal of Ophthalmology, Vol 17, Iss 9, Pp 1633-1638 (2024)
- Publication Year :
- 2024
- Publisher :
- Press of International Journal of Ophthalmology (IJO PRESS), 2024.
-
Abstract
- AIM: To compare surgical outcomes between the conventional endoscopic dacryocystorhinostomy (DCR) and a modified endoscopic DCR for the treatment of nasolacrimal duct obstruction (NLDO), and evaluate factors associated with the surgical success rate. METHODS: Medical records of patients who underwent primary DCR surgery between January 2016 and July 2020 at the Otorhinolaryngology Department of Eye and Ear International Hospital, Lebanon were reviewed. RESULTS: The study group consisted of 50 consecutive modified endoscopic DCR and the control group consisted of 138 consecutive conventional endoscopic DCR. The success rates at 1y were 98.0% (49 out of 50) for modified DCR, significantly higher compared to 84.8% (117/138) for the conventional DCR; there was no significant difference in the success rate throughout the years in terms of both surgical techniques. The modified surgery vs traditional [adjusted odds ratio (aOR)=14.96] and having an adjunctive septoplasty surgery vs not (aOR=3.99) were significantly associated with higher odds of success. CONCLUSION: Mucosal flap preservation and apposition shows significant improvement in the surgical success rate. Moreover, there is no statistically significant difference found in terms of complication rate and mean operative time between the conventional and the modified techniques.
Details
- Language :
- English
- ISSN :
- 22223959 and 22274898
- Volume :
- 17
- Issue :
- 9
- Database :
- Directory of Open Access Journals
- Journal :
- International Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.23f300894b3d414f8c5b450664ca1d05
- Document Type :
- article
- Full Text :
- https://doi.org/10.18240/ijo.2024.09.09