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Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis
Purpose: To evaluate the surgical outcomes of primary early endoscopic dacryocystorhinostomy (EnDCR) in acute dacryocystitis (AD) and to determine the optimal timing for surgery. Methods: A retrospective review of medical records was performed on consecutive patients who underwent primary early EnDC...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8155898/ https://www.ncbi.nlm.nih.gov/pubmed/34067623 http://dx.doi.org/10.3390/jcm10102161 |
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author | Sung, Jae Yun Kim, Ju Mi Hwang, Jae Yul Kim, Kyoung Nam Kim, Jaeyoung Lee, Sung Bok |
author_facet | Sung, Jae Yun Kim, Ju Mi Hwang, Jae Yul Kim, Kyoung Nam Kim, Jaeyoung Lee, Sung Bok |
author_sort | Sung, Jae Yun |
collection | PubMed |
description | Purpose: To evaluate the surgical outcomes of primary early endoscopic dacryocystorhinostomy (EnDCR) in acute dacryocystitis (AD) and to determine the optimal timing for surgery. Methods: A retrospective review of medical records was performed on consecutive patients who underwent primary early EnDCR (within 1 week) for AD between May 2010 and June 2020 (AD group) and an age- and gender-matched control group of NLDO patients who underwent EnDCR (non-AD group). The primary outcome measures were the surgical outcomes at the final follow-up examination. The secondary outcome measure was the clinical course of AD patients. Subgroup analysis was performed to determine the optimal timing of surgery by comparing the outcomes of very early EnDCR (within 3 days) and those of early EnDCR (between 4 and 7 days). Results: Forty-one patients were included in the AD group and 82 patients in the non-AD group. The anatomical and functional success rates were 87.8% and 82.9% in the AD group, and 91.5% and 84.1% in the non-AD group, which were not significantly different between the two groups (p = 0.532 and p = 0.863). In the AD group, the mean times for pain relief and resolution of swelling after surgery were 2.4 and 6.5 days after surgery, respectively. In the subgroup analysis according to the timing of surgery, the time for symptom resolution after diagnosis, the length of hospital stays, and the duration of antibiotic treatments were significantly shorter after very early EnDCR (all ps < 0.05), whereas the surgical outcomes were not different between the two groups (p = 1.000). Conclusions: Primary early EnDCR is a safe and effective procedure for the treatment of AD. In particular, very early EnDCR performed within 3 days leads to faster recovery and shortens the course of antibiotic treatment. |
format | Online Article Text |
id | pubmed-8155898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81558982021-05-28 Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis Sung, Jae Yun Kim, Ju Mi Hwang, Jae Yul Kim, Kyoung Nam Kim, Jaeyoung Lee, Sung Bok J Clin Med Article Purpose: To evaluate the surgical outcomes of primary early endoscopic dacryocystorhinostomy (EnDCR) in acute dacryocystitis (AD) and to determine the optimal timing for surgery. Methods: A retrospective review of medical records was performed on consecutive patients who underwent primary early EnDCR (within 1 week) for AD between May 2010 and June 2020 (AD group) and an age- and gender-matched control group of NLDO patients who underwent EnDCR (non-AD group). The primary outcome measures were the surgical outcomes at the final follow-up examination. The secondary outcome measure was the clinical course of AD patients. Subgroup analysis was performed to determine the optimal timing of surgery by comparing the outcomes of very early EnDCR (within 3 days) and those of early EnDCR (between 4 and 7 days). Results: Forty-one patients were included in the AD group and 82 patients in the non-AD group. The anatomical and functional success rates were 87.8% and 82.9% in the AD group, and 91.5% and 84.1% in the non-AD group, which were not significantly different between the two groups (p = 0.532 and p = 0.863). In the AD group, the mean times for pain relief and resolution of swelling after surgery were 2.4 and 6.5 days after surgery, respectively. In the subgroup analysis according to the timing of surgery, the time for symptom resolution after diagnosis, the length of hospital stays, and the duration of antibiotic treatments were significantly shorter after very early EnDCR (all ps < 0.05), whereas the surgical outcomes were not different between the two groups (p = 1.000). Conclusions: Primary early EnDCR is a safe and effective procedure for the treatment of AD. In particular, very early EnDCR performed within 3 days leads to faster recovery and shortens the course of antibiotic treatment. MDPI 2021-05-17 /pmc/articles/PMC8155898/ /pubmed/34067623 http://dx.doi.org/10.3390/jcm10102161 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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/). |
spellingShingle | Article Sung, Jae Yun Kim, Ju Mi Hwang, Jae Yul Kim, Kyoung Nam Kim, Jaeyoung Lee, Sung Bok Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis |
title | Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis |
title_full | Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis |
title_fullStr | Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis |
title_full_unstemmed | Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis |
title_short | Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis |
title_sort | optimal timing for primary early endoscopic dacryocystorhinostomy in acute dacryocystitis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8155898/ https://www.ncbi.nlm.nih.gov/pubmed/34067623 http://dx.doi.org/10.3390/jcm10102161 |
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