Effectiveness and Factors Influencing Success of Transcanalicular Laser-Assisted Endoscopic Dacryocystorhinostomy: Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Surgical Technique
2.3. Patients Characteristics
3. Results
3.1. Effectiveness of LDCR Procedure
3.2. Effectiveness Based on Time since Surgery
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Blackmore, K.J.; Ainsworth, G.; Robson, A.K. Epiphora: An evidence based approach to the 12 minute consultation. Clin. Otolaryngol. 2010, 35, 210–214. [Google Scholar] [CrossRef] [PubMed]
- Maliborski, A.; Różycki, R. Diagnostic imaging of the nasolacrimal drainage system. Part I. Radiological anatomy of lacrimal pathways. Physiology of tear secretion and tear outflow. Med. Sci. Monit. 2014, 20, 628–638. [Google Scholar] [CrossRef] [PubMed]
- York, S.N.F. PharmD Candidate 2019 St John’s University, College of Pharmacy &. Health Sciences Queens, New York Emily M. Ambizas, PharmD, MPH, BCGP Associate Clinical Professor St John’s University, College of Pharmacy &. Health Sciences Queens, New York Clinical Specialist, Rite Aid Pharmacy Whitestone, New Common Ophthalmic Conditions and Self-Care Options. Available online: https://www.uspharmacist.com/article/common-ophthalmic-conditions-and-selfcare-options (accessed on 1 June 2024).
- Rózycki, R.; Jakubaszek, A.; Maliborski, A. Causes of epiphora in diagnosed and treated patients in Department of Ophthalmology in Military Institute of Health Service. Klin. Ocz. 2009, 111, 319–322. [Google Scholar]
- Timlin, H.M.; Kang, S.; Jiang, K.; Ezra, D.G. Recurrent epiphora after dacryocystorhinostomy surgery: Structural abnormalities identified with dacryocystography and long term outcomes of revision surgery. BMC Ophthalmol. 2021, 21, 117. [Google Scholar] [CrossRef]
- Gogandy, M.; Al-Sheikh, O.; Chaudhry, I. Clinical features and bacteriology of lacrimal canaliculitis in patients presenting to a tertiary eye care center in the Middle East. Saudi J. Ophthalmol. 2014, 28, 31–35. [Google Scholar] [CrossRef]
- Aiesh, B.M.; Nazzal, M.A.; Abdelhaq, A.I.; Abutaha, S.A.; Zyoud, S.H.; Sabateen, A. Impact of an antibiotic stewardship program on antibiotic utilization, bacterial susceptibilities, and cost of antibiotics. Sci. Rep. 2023, 13, 5040. [Google Scholar] [CrossRef]
- Shermetaro, C.; Gladstone, G.J. Adult nasolacrimal duct obstruction. J. Am. Osteopath. Assoc. 1994, 94, 229–232. [Google Scholar] [CrossRef]
- Kang, H.; Takahashi, Y.; Ichinose, A.; Nakano, T.; Asamoto, K.; Ikeda, H.; Iwaki, M.; Kakizaki, H. Lateral canthal anatomy: A review. Orbit 2012, 31, 279–285. [Google Scholar] [CrossRef]
- Dantas, R.R.A. Lacrimal drainage system obstruction. Semin. Ophthalmol. 2010, 25, 98–103. [Google Scholar] [CrossRef] [PubMed]
- Machiele, R.; Lopez, M.J.; Czyz, C.N. Anatomy, Head and Neck: Eye Lacrimal Gland. In StatPearls; StatPearls Publishing: Treasure Island, FL, USA, 2024. [Google Scholar]
- Meyer, D.R. Lacrimal disease and surgery. Curr. Opin. Ophthalmol. 1993, 4, 86–94. [Google Scholar] [CrossRef]
- Lee, J.; Flanagan, J.C. Complications associated with silicone intracanalicular plugs. Ophthalmic Plast. Reconstr. Surg. 2001, 17, 465–469. [Google Scholar] [CrossRef] [PubMed]
- Różycki, R.; Chamernik, A.; Różycka, M.; Ulaszewska, K.; Różycka, K.; Nesterowicz, P. Przegląd metod leczenia operacyjnego przewlekłej niedrożności dróg łzowych. Okulistyka 2023, 3, 48–55. [Google Scholar]
- Rizvi, S.A.R.; Sabah, M.; Mehmood, F.; Maheshwari, R.; Alam, M.S. A glued technique of external dacryocystorhinostomy. Indian J. Ophthalmol. 2022, 70, 962–964. [Google Scholar] [CrossRef] [PubMed]
- Bharangar, S.; Singh, N.; Lal, V. Endoscopic Endonasal Dacryocystorhinostomy: Best Surgical Management for DCR. Indian J. Otolaryngol. Head Neck Surg. 2012, 64, 366–369. [Google Scholar] [CrossRef] [PubMed]
- Lee, S.; Yen, M.T. Laser-assisted dacryocystorhinostomy: A viable treatment option? Curr. Opin. Ophthalmol. 2011, 22, 413–418. [Google Scholar] [CrossRef]
- Drnovsek-Olup, B.; Beltram, M. Transcanalicular diode laser-assisted dacryocystorhinostomy. Indian J. Ophthalmol. 2010, 58, 213–217. [Google Scholar] [CrossRef]
- Hartikainen, J.; Grenman, R.; Puukka, P.; Seppä, H. Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy. Ophthalmology 1998, 105, 1106–1113. [Google Scholar] [CrossRef]
- Cha, E.; Lee, H.; Lee, H.; Baek, S. Clinical Efficacy of Orbital Computed Tomographic Assessment in Determination of the Optimal Length of the Jones Tube in Endo CDCR. J. Craniofac Surg. 2023, 34, 2352–2355. [Google Scholar] [CrossRef]
- Yoon, J.M.; Nam, S.W.; Woo, K.I.; Kim, Y.-D. Transcanalicular Diode Laser-Assisted Revision Surgery for Failed Dacryocystorhinostomy With or Without Distal or Common Canalicular Obstruction. Ophthalmic Plast. Reconstr. Surg. 2018, 34, 291–295. [Google Scholar] [CrossRef]
- Koch, K.R.; Cursiefen, C.; Heindl, L.M. Minimally invasive bypass surgery for nasolacrimal duct obstruction: Transcanalicular laser-assisted dacryocystorhinostomy. Ophthalmologe 2017, 114, 416–423. [Google Scholar] [CrossRef]
- Munk, P.L.; Lin, D.T.; Morris, D.C. Epiphora: Treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus. Radiology 1990, 177, 687–690. [Google Scholar] [CrossRef]
- Ullrich, K.; Malhotra, R.; Patel, B.C. Dacryocystorhinostomy. In StatPearls; StatPearls Publishing: Treasure Island, FL, USA, 2024. [Google Scholar]
- Özçimen, M.; Uysal, I.O.; Eryılmaz, M.A.; Kal, A. Endocanalicular diode laser dacryocystorhinostomy for nasolacrimal duct obstruction: Short-term results of a new minimally invasive surgical technique. J. Craniofac Surg. 2010, 21, 1932–1934. [Google Scholar] [CrossRef] [PubMed]
- Fayers, T.; Dolman, P.J. Bicanalicular Silicone Stents in Endonasal Dacryocystorhinostomy: Results of a Randomized Clinical Trial. Ophthalmology 2016, 123, 2255–2259. [Google Scholar] [CrossRef] [PubMed]
- Chandler, P.A. Dacryocystorhinostomy. Trans. Am. Ophthalmol. Soc. 1936, 34, 240–263. [Google Scholar]
- Massaro, B.M.; Gonnering, R.S.; Harris, G.J. Endonasal laser dacryocystorhinostomy. A new approach to nasolacrimal duct obstruction. Arch. Ophthalmol. 1990, 108, 1172–1176. [Google Scholar] [CrossRef]
- Bulut, A.; Aslan, M.G.; Oner, V. Transcanalicular Multidiode Laser Versus External Dacryocystorhinostomy in the Treatment of Acquired Nasolacrimal Duct Obstruction. Beyoglu Eye J. 2021, 6, 315–319. [Google Scholar] [CrossRef]
- Berrocal-Cuadrado, A.; Sánchez-Tocino, H.; Galindo-Ferreiro, A. Retrospective study of success rate and associated factors of two laser dacryocystorhinostomy techniques, in a third-level hospital. Arch. Soc. Esp. Oftalmol. (Engl. Ed.) 2023, 98, 427–433. [Google Scholar] [CrossRef] [PubMed]
- Tokat, T.; Tokat, S.; Kusbeci, T. Long-term outcomes of transcanalicular laser dacryocystorhinostomy versus endonasal dacryocystorhinostomy and a review of the literature. Niger. J. Clin. Pract. 2023, 26, 1069–1074. [Google Scholar] [CrossRef]
- Doğan, M.; Alizada, A.; Yavaş, G.F.; Kahveci, O.K.; Bakan, O. Laser-assisted dacryocystorhinostomy in nasolacrimal duct obstruction: 5-year follow-up. Int. J. Ophthalmol. 2018, 11, 1616–1620. [Google Scholar] [CrossRef]
- Kaynak, P.; Ozturker, C.; Yazgan, S.; Karabulut, G.O.; Akar, S.; Demirok, A.; Yilmaz, O.F. Transcanalicular diode laser assisted dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction: 2-year follow up. Ophthalmic Plast. Reconstr. Surg. 2014, 30, 28–33. [Google Scholar] [CrossRef]
- Rajabi, M.T.; Shahraki, K.; Nozare, A.; Moravej, Z.; Tavakolizadeh, S.; Salim, R.E.; Hosseinzadeh, F.; Mohammadi, S.; Farahi, A.; Shahraki, K. External versus Endoscopic Dacryocystorhinostomy for Primary Acquired Nasolacrimal Duct Obstruction. Middle East Afr. J. Ophthalmol. 2022, 29, 1–6. [Google Scholar] [CrossRef] [PubMed]
- Nomura, K.; Arakawa, K.; Sugawara, M.; Hidaka, H.; Suzuki, J.; Katori, Y. Factors influencing endoscopic dacryocystorhinostomy outcome. Eur. Arch. Otorhinolaryngol. 2017, 274, 2773–2777. [Google Scholar] [CrossRef] [PubMed]
- Hong, J.E.; Hatton, M.P.; Leib, M.L.; Fay, A.M. Endocanalicular laser dacryocystorhinostomy analysis of 118 consecutive surgeries. Ophthalmology 2005, 112, 1629–1633. [Google Scholar] [CrossRef]
- Mor, J.M.; Matthaei, M.; Schrumpf, H.; Koch, K.R.; Bölke, E.; Heindl, L.M. Transcanalicular laser dacryocystorhinostomy for acquired nasolacrimal duct obstruction: An audit of 104 patients. Eur. J. Med. Res. 2018, 23, 58. [Google Scholar] [CrossRef]
- Panda, B.B.; Nayak, B.; Mohapatra, S.; Thakur, S.; Vishwanath, S. Success and complications of endoscopic laser dacryocystorhinostomy vs. external dacryocystorhinostomy: A systematic review and meta-analysis. Indian J. Ophthalmol. 2023, 71, 3290–3298. [Google Scholar] [CrossRef]
- Bakri, S.J.; Carney, A.S.; Downes, R.N.; Jones, N.S. Endonasal laser-assisted dacryocystorhinostomy. Hosp. Med. 1998, 59, 210–215. [Google Scholar] [PubMed]
- Barnea, R.; Tur-Sinai, A.; Levtzion-Korach, O.; Weiss, Y.; Tal, O. Patient preferences and choices as a reflection of trust—A cluster analysis comparing postsurgical perceptions in a private and a public hospital. Health Expect 2022, 25, 2340–2354. [Google Scholar] [CrossRef]
- Uysal, I.O.; Ozçimen, M.; Yener, H.I.; Kal, A. Pediatric endocanalicular diode laser dacryocystorhinostomy: Results of a minimally invasive surgical technique. Eur. Arch. Otorhinolaryngol. 2011, 268, 1283–1288. [Google Scholar] [CrossRef]
- Nowak, R.; Rekas, M.; Gospodarowicz, I.N.; Ali, M.J. Long-term outcomes of primary transcanalicular laser dacryocystorhinostomy. Graefes Arch. Clin. Exp. Ophthalmol. 2021, 259, 2425–2430. [Google Scholar] [CrossRef]
- Taşkıran Çömez, A.; Karadağ, O.; Arıkan, S.; Gencer, B.; Kara, S. Comparison of transcanalicular diode laser dacryocystorhinostomy and external dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction. Lasers Surg. Med. 2014, 46, 275–280. [Google Scholar] [CrossRef]
Grade | Patient’s Answer |
---|---|
0 | No epiphora. |
1 | Tearing that causes wiping away of tears less than twice a day. |
2 | Tearing that causes wiping away of tears 2–4 times a day. |
3 | Tearing that causes wiping away of tears 5–10 times a day. |
4 | Tearing that causes wiping away of tears more than 10 times a day. |
5 | Constant epiphora. |
Variable | Patients [n = 48] | |
---|---|---|
Age [years] | 65 | |
Gender | Female | 33 (69%) |
Male | 15 (31%) | |
Operated side | Only right | 18 (37.50%) |
Only left | 22 (45.83%) | |
Right and left | 8 (16.67%) | |
Diagnostic | Chronic dacryocystitis | 21 (43.75%) |
Sacculated dilation and nasolacrimal duct obstruction | 13 (27.08%) | |
Acute dacryocystitis unresponsive to medical treatment | 3 (6.25%) | |
Functional nasolacrimal duct obstruction | 2 (4.17%) | |
Nasolacrimal duct obstruction | 9 (18.75%) |
Variable | Patent Lacrimal Duct [n = 53] | Obstructed Lacrimal Duct [n = 3] | |
---|---|---|---|
Mean age | 62 | 64.7 | |
Operated side | Right | 26 (49.1%) | 2 (66.7%) |
Left | 27 (50.9%) | 1 (33.3%) | |
Average Munk score | Before surgery | 4.72 | 3.66 |
After surgery | 0.38 | 1.33 | |
Average fistula size in mm | 2.03 | 0.17 |
Variable | 6 Months Postoperatively [n = 11] | 6 Months–1 Year Postoperatively [n = 18] | 1–2 Years Postoperatively [n = 22] | 2–3, 5 Years Postoperatively [n = 5] | |
---|---|---|---|---|---|
Duration of symptoms before surgery | <1 year | 1 (9.09%) | 4 (22.22%) | 0 (0%) | 0 (0%) |
1–5 years | 5 (45.45%) | 10 (55.56%) | 11 (50%) | 3 (60%) | |
> 5 years | 5 (45.45%) | 4 (22.22%) | 11 (50%) | 2 (40%) | |
Postoperative canalicular test: | Completely patent | 8 (72.73%) | 15 (83.33%) | 19 (86.36%) | 4 (80%) |
Partially patent | 1 (9.09%) | 3 (16.67%) | 2 (9.09%) | 1 (20%) | |
Partially obstructed | 1 (9.09%) | 0 (0%) | 0 (0%) | 0 (0%) | |
Completely obstructed | 1 (9.09%) | 0 (0%) | 1 (4.55%) | 0 (0%) |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Różycki, R.; Skrzypiec, Ł.; Ulaszewska, K.; Gąsior, J.S.; Wasyluk, J. Effectiveness and Factors Influencing Success of Transcanalicular Laser-Assisted Endoscopic Dacryocystorhinostomy: Cohort Study. Diagnostics 2024, 14, 1944. https://doi.org/10.3390/diagnostics14171944
Różycki R, Skrzypiec Ł, Ulaszewska K, Gąsior JS, Wasyluk J. Effectiveness and Factors Influencing Success of Transcanalicular Laser-Assisted Endoscopic Dacryocystorhinostomy: Cohort Study. Diagnostics. 2024; 14(17):1944. https://doi.org/10.3390/diagnostics14171944
Chicago/Turabian StyleRóżycki, Radosław, Łukasz Skrzypiec, Katarzyna Ulaszewska, Jakub S. Gąsior, and Jaromir Wasyluk. 2024. "Effectiveness and Factors Influencing Success of Transcanalicular Laser-Assisted Endoscopic Dacryocystorhinostomy: Cohort Study" Diagnostics 14, no. 17: 1944. https://doi.org/10.3390/diagnostics14171944