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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...

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Autores principales: Sung, Jae Yun, Kim, Ju Mi, Hwang, Jae Yul, Kim, Kyoung Nam, Kim, Jaeyoung, Lee, Sung Bok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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