Outcomes of Endoscopic Powered Revision Dacryocystorhinostomy

The Journal of Craniofacial Surgery
Abdullah DalgicDeniz Tuna Edizer

Abstract

Objective of this study is to determine the etiology of patients applied with revision endoscopic dacryocystorhinostomy (DCR) and to evaluate the operation results.The patients were retrospectively evaluated in respect of demographic data, the time from primary to revision surgery, revision etiology, the use of bicanalicular silicone nasolacrimal tube (BNLT), the time to postoperative removal of the silicone tube, and the success of the revision surgery.The study included 27 patients applied with revision endoscopic DCR between January 2013 and January 2016. The mean age of the patients was 46.7 ± 11.7 years. The mean time from the first operation to revision surgery was 7.2 ± 6.1 months (range, 1-24 months). During the endoscopic DCR, synechia was observed in 2 (7.4%), granulation tissue in 7 (25.9%), inadequate bone window in 5 (18.52%), and membranous scar around the ostium in 22 (81.4%) patients. More than 1 etiologic problem was determined in 8 patients. During the revision procedure, BNLT was applied to 12 (44.4%) patients. At the final follow-up examination, the complaint of epiphora had completely recovered in 18 (66.6%) patients and there were in 9 (33.3%) patients. The mean time to removal of the BNLT was 1.7 ± 0.57 m...Continue Reading

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Citations

Nov 16, 2019·International Forum of Allergy & Rhinology·Ashton E LehmannRalph Metson
Jan 3, 2020·The Journal of Craniofacial Surgery·Oğuzhan Dikici, Hafize Gökben Ulutaş
Aug 31, 2019·The Journal of Craniofacial Surgery·Suphi BulgurcuIbrahim Cukurova
Sep 18, 2020·American Journal of Rhinology & Allergy·Aria JafariRalph Metson
Jun 29, 2021·Acta otorrinolaringológica española·Francisco Javier García CallejoRamón Balaguer García

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