Five- and 10-Year Outcomes for Primary Endoscopic Dacryocystorhinostomy: Failure Rate and Risk Factors.
Endoscopic
anatomic
dacryocystorhinostomy
long-term outcome
success rate
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
25
11
2019
revised:
30
12
2019
accepted:
06
01
2020
pubmed:
6
2
2020
medline:
20
1
2021
entrez:
4
2
2020
Statut:
ppublish
Résumé
Endoscopic dacryocystorhinostomy (eDCR) is the preferred approach for nasolacrimal duct obstruction, yet quality data on long-term outcomes is lacking. A retrospective study in a single, academic institution. To assess the 5- and 10-year success rates of eDCR, and its associated risks. All eDCRs conducted at Kaplan Medical Center between the years 2002-2017 were included. For long-term follow-up analysis, two subgroups with a minimum of documented 5- and 10-year follow-up after surgery were defined. Surgical success was defined by both anatomical (observed patent lacrimal flow) and functional (symptomatic relief) success. Data was collected from the hospital's electronic medical records and was completed by phone interviews. Pre-, intra-, and postoperative variables were collected and stratified by multivariate analysis. After exclusions, 321, 168, and 65 patients were included for immediate, 5- and 10-year outcome analysis, respectively. Overall success rates were 92.5%, 86.3%, and 80%, respectively. The anatomical success rates were 93.8%, 89.9%, and 86.1%, respectively. Multivariate analysis revealed that older age (P < .001, P = .001) previous smoking (P = .043, P = .037), and postoperative complains of epiphora (even when a successful irrigation was observed, P < .001, P = .01) were all associated with eDCR failure 5 and 10 years following surgery. Male gender was also associated with eDCR failure (5 years, P = .045; 10 years, P = .063). Despite decreased rates over time, eDCR is beneficial for the majority of patients also at 10 years following surgery. Older age, smoking, postoperative epiphora, and male gender are related to long-term failure and should be discussed with the patients before surgery. 3b Laryngoscope, 131:10-16, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
10-16Informations de copyright
© 2020 The American Laryngological, Rhinological and Otological Society, Inc.
Références
McDonogh M. Endoscopic transnasal dacryocystorhinostomy. Results in 21 patients. South African J Surg 1992;30:107-110.
Tsirbas A, Wormald PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Br J Ophthalmol 2003;87:43-47.
Wu W, Yan W, MacCallum JK, et al. Primary treatment of acute dacryocystitis by endoscopic dacryocystorhinostomy with silicone intubation guided by a soft probe. Ophthalmology 2009;116:116-122.
Marcet MM, Kuk AKT, Phelps PO. Evidence-based review of surgical practices in endoscopic endonasal dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction and other new indications. Curr Opin Ophthalmol 2014;25:443-448.
Saroj G, Rashmi G. Conventional dacryocystorhinostomy versus endonasal dacryocystorhinostomy-a comparative study. Indian J Otolaryngol Head Neck Surg 2010;62:296-298.
Walker RA, Al-Ghoul A, Conlon MR. Comparison of nonlaser nonendoscopic endonasal dacryocystorhinostomy with external dacryocystorhinostomy. Can J Ophthalmol 2011;46:191-195.
Savino G, Battendieri R, Traina S, et al. External vs. endonasal dacryocystorhinostomy: has the current view changed? Acta Otorhinolaryngol Ital 2014;34:29-35.
Kumar S, Mishra AK, Sethi A, et al. Comparing outcomes of the standard technique of endoscopic DCR with its modifications: a retrospective analysis. Otolaryngol Head Neck Surg 2019;160:347-354.
Dolmetsch AM. Dacryocystorhinostomy with adjunctive Mitomycin C in nasolacrimal duct obstruction in adults. OPHTHA 2019;117:1037-1040.
Ayoob M, Mahida K, Ul-Ain Q, Dawood Z. Outcome and complications of endoscopic dacryocystorhinostomy without stenting. Pak J Med Sci 2013;29:1236-1239.
Cannon PS, Chan W, Selva D. Incidence of canalicular closure with endonasal dacryocystorhinostomy without intubation in primary nasolacrimal duct obstruction. Ophthalmology 2013;120:1688-1692.
Nair AG, Ali MJ. Mitomycin-C in dacryocystorhinostomy: from experimentation to implementation and the road ahead: a review. Indian J Ophthalmol 2015;63:335-339.
Erdöl H, Akyol N, Imamoglu HI, Sözen E. Long-term follow-up of external dacryocystorhinostomy and the factors affecting its success. Orbit 2005;24:99-102.
Nomura K, Arakawa K, Sugawara M, Hidaka H, Suzuki J, Katori Y. Factors influencing endoscopic dacryocystorhinostomy outcome. Eur Arch Otorhinolaryngol 2017;274:2773-2777.
Kansu L, Aydin E, Avci S, Kal A, Gedik S. Comparison of surgical outcomes of endonasal dacryocystorhinostomy with or without mucosal flaps. Auris Nasus Larynx 2009;36:555-559.
Cokkeser Y, Evereklioglu C, Er H. Comparative external versus endoscopic dacryocystorhinostomy: results in 115 patients (130 eyes). Otolaryngol Head Neck Surg 2000;123:488-491.
Coumou AD, Genders SW, Smid TM, Saeed P. Endoscopic dacryocystorhinostomy: long-term experience and outcomes. Acta Ophthalmol 2017;95:74-78.
Ben Simon GJ, Joseph J, Lee S, Schwarcz RM, McCann JD, Goldberg RA. External versus endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction in a tertiary referral center. Ophthalmology 2005;112:1463-1468.
Chisty N, Singh M, Ali MJ, Naik MN. Long-term outcomes of powered endoscopic dacryocystorhinostomy in acute dacryocystitis. Laryngoscope 2016;126:551-553.
Lehmann AE, Scangas GA, Jafari A, Banks CG, Fullerton ZH, Metson R. Predictors of long-term success and failure in primary and revision endoscopic dacryocystorhinostomy. Int Forum Allergy Rhinol 2019;00:1-7.
Kamal S, Ali MJ, Naik MN. Circumostial injection of mitomycin C (COS-MMC) in external and endoscopic dacryocystorhinostomy: efficacy, safety profile, and outcomes. Ophthal Plast Reconstr Surg 2014;30:187-190.
Qing C. The molecular biology in wound healing & non-healing wound. Chin J Traumatol 2017;20:189-193.
Özkiriş M, Özkiriş A. Endoscopic dacryocystorhinostomy not using canalicular silicone intubation tube with and without mitomycin C: a comparative study. Eur J Ophthalmol 2012;22:320-325.
Nemet AY. The etiology of Epiphora: a multifactorial issue. Semin Ophthalmol 2014;31:1-5.
Briggs RD, Wright ST, Cordes S, Calhoun KH. Smoking in chronic rhinosinusitis: a predictor of poor long-term outcome after endoscopic sinus surgery. Laryngoscope 2004;114:126-128.
Golan S, Chen Y, Levine B, et al. Does long-term success from endoscopic DCR correlate with early post-operative reduction in tearing? Am J Otolaryngol Head Neck Med Surg 2018;39:592-593.