Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy

BACKGROUND: The aim of this study was to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in patients with lacrimal sac within the sinus. MATERIALS AND METHODS: Retrospective analysis was performed on all patients who underwent PEnDCR and were intraoperatively documented to h...

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Autores principales: Ali, Mohammad Javed, Singh, Swati, Naik, Milind N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940020/
https://www.ncbi.nlm.nih.gov/pubmed/27462137
http://dx.doi.org/10.2147/OPTH.S108634
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author Ali, Mohammad Javed
Singh, Swati
Naik, Milind N
author_facet Ali, Mohammad Javed
Singh, Swati
Naik, Milind N
author_sort Ali, Mohammad Javed
collection PubMed
description BACKGROUND: The aim of this study was to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in patients with lacrimal sac within the sinus. MATERIALS AND METHODS: Retrospective analysis was performed on all patients who underwent PEnDCR and were intraoperatively documented to have complete lacrimal sac in sinus. Data collected included demographics, clinical presentations, associated lacrimal and nasal anomalies, intraoperative findings, intraoperative guidance, complications, postoperative ostium behavior, and anatomical and functional success. A minimum follow-up of 6 months postsurgery was considered for final analysis. RESULTS: A total of 17 eyes of 15 patients underwent PEnDCR using standard protocols, but with additional intraoperative guidance where required and careful maneuvering in the ethmoid sinus. The mean age of the patients was 37.2 (range 17–60) years. Of the unilateral cases, 69% (nine of 13) showed left-side predisposition; 80% of patients showed regurgitation on pressure over the lacrimal sac area. Associated lacrimal and nasal anomalies were observed in 13.3% (two of 15) and 40% (six of 15), respectively. At a mean follow-up of 6.6 months, anatomical and functional success were observed in 93.3% (14 of 15). One patient showed failure secondary to cicatricial closure of the ostium. CONCLUSION: An entire sac within an ethmoid sinus poses a surgical challenge. Good sinus-surgery training, thorough knowledge of endoscopic anatomy, careful maneuvering, and use of intraoperative navigation guidance result in good outcomes with PEnDCR.
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spelling pubmed-49400202016-07-26 Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy Ali, Mohammad Javed Singh, Swati Naik, Milind N Clin Ophthalmol Original Research BACKGROUND: The aim of this study was to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in patients with lacrimal sac within the sinus. MATERIALS AND METHODS: Retrospective analysis was performed on all patients who underwent PEnDCR and were intraoperatively documented to have complete lacrimal sac in sinus. Data collected included demographics, clinical presentations, associated lacrimal and nasal anomalies, intraoperative findings, intraoperative guidance, complications, postoperative ostium behavior, and anatomical and functional success. A minimum follow-up of 6 months postsurgery was considered for final analysis. RESULTS: A total of 17 eyes of 15 patients underwent PEnDCR using standard protocols, but with additional intraoperative guidance where required and careful maneuvering in the ethmoid sinus. The mean age of the patients was 37.2 (range 17–60) years. Of the unilateral cases, 69% (nine of 13) showed left-side predisposition; 80% of patients showed regurgitation on pressure over the lacrimal sac area. Associated lacrimal and nasal anomalies were observed in 13.3% (two of 15) and 40% (six of 15), respectively. At a mean follow-up of 6.6 months, anatomical and functional success were observed in 93.3% (14 of 15). One patient showed failure secondary to cicatricial closure of the ostium. CONCLUSION: An entire sac within an ethmoid sinus poses a surgical challenge. Good sinus-surgery training, thorough knowledge of endoscopic anatomy, careful maneuvering, and use of intraoperative navigation guidance result in good outcomes with PEnDCR. Dove Medical Press 2016-07-05 /pmc/articles/PMC4940020/ /pubmed/27462137 http://dx.doi.org/10.2147/OPTH.S108634 Text en © 2016 Ali et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Ali, Mohammad Javed
Singh, Swati
Naik, Milind N
Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_full Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_fullStr Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_full_unstemmed Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_short Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_sort entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940020/
https://www.ncbi.nlm.nih.gov/pubmed/27462137
http://dx.doi.org/10.2147/OPTH.S108634
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