Primary Endoscopic Dacryocystorhinostomy with or without Silicone Tubing: A Prospective Randomized Study

American Journal of Rhinology and Allergy - Tập 26 Số 4 - Trang 332-334 - 2012
Ali S Al-Qahtani1
1Department of Ear, Nose, Throat and Head and Neck Surgery, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia

Tóm tắt

Background Endoscopic dacryocystorhinostomy (DCR) is an effective surgical procedure to treat saccal and postsaccal stenosis or nasolacrimal duct obstruction. The use of silicone tube after endoscopic DCR is still controversial. A prospective randomized study was conducted to compare the success rate between the use of silicone stent and no use of silicone stent in endoscopic DCR. Methods A prospective randomized study was conducted at Aseer Central Hospital and Abha Private Hospital, Abha, Kingdom of Saudi Arabia, on all patients undergoing endoscopic DCR between July 1, 2006 and 30 June 30, 2010. Patients were allocated randomly for endoscopic DCR with or without stent. The data collection included age, sex, diagnosis, method, and duration of surgery. Patients were followed up postoperatively at 1 week, 1 month, and then every 3 months for 1 year. Results During the period of the study a total of 173 cases of postsaccal stenosis underwent endoscopic DCR (67 male and 106 female subjects). The mean age was 51.8 years (range, 18–72 years). A stent was used in 92 patients (53.2%) and not used in 81 patients (46.8%). With silicone tubing the success rate was 96%, and without silicone tubing it was 91%, an overall success rate of 94%. The odds ratio of failure without a silicone tube was 3.25 but confidence interval was from 0.84 to 12.60 and the difference between these two groups was statistically not significant (p = 0.117). Conclusion In this study, there was no statistically significant advantage of using endoscopic DCR with stent over the endoscopic DCR without stent.

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Tài liệu tham khảo

10.1017/S0022215100109405

Leong SC, 2010, Am J Otolaryngol Head Neck Med Surg, 31, 32

10.1007/s00405-011-1727-3

10.1288/00005537-199403000-00005

10.3109/00016489709124118

10.1097/00002341-199109000-00005

Allen K, 1998, Opthalmic Surg, 20, 486

Muscatello L, 2005, Acta Otorhinolaryngologica Ital, 25, 209

10.1097/00002341-199312000-00001

Hun-JongD and LanzaDC. Fungal rhinosinusitis. In Disease of the Sinuses Diagnosis and Management. KennedyDW BolgerWE and ZinreichSJ (Eds). Hamilton, Ontario, Canada: B.C. Decker, 179–195, 2001.

10.2500/ajr.2006.20.2955

10.1001/archopht.1990.01070100128048

10.2500/105065899781367465

10.1080/000164800750001170

10.1186/1471-2415-5-2

10.2500/ajr.2008.22.3132

10.1177/000348940211100809

Mortimore S, 1999, JR Coll Surg Edinb, 44, 371

10.1016/S0385-8146(99)00039-5

10.2500/ajr.2007.21.3095

10.1016/j.jcjo.2011.09.008

10.2500/ajra.2010.24.3393

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Thông tin xuất bản

American Journal of Rhinology and Allergy

Tập 26 Số 4

332-334

Thông tin tác giả