Usefulness of the dacryoscintigraphy in patients with nasolacrimal duct obstruction prior to endoscopic dacryocystorhinostomy
Tóm tắt
To evaluate the clinical usefulness of the dacryoscintigraphy in patients with nasolacrimal duct obstruction prior to endoscopic dacryocystorhinostomy. One hundred thirty-five lacrimal views of endoscopic dacryocystorhinostomy (DCR) with a single surgeon for primary nasolacrimal duct obstruction (PANDO) were included. These were assigned into three groups according to the type of dacryoscintigraphy. Group 1 was a pre-sac obstruction pattern. Group 2 was an intra-sac obstruction pattern. Group 3 was post-sac obstruction pattern. Each group was evaluated for an anatomical and functional surgical success, presence of complications including granuloma, synechiae, and tube-induced inflammation at least 12 months after the surgery. Both anatomical and functional success rate showed no significant difference among the three groups (P = .297 and .472 linear by linear association). Functional failure rate (functional failure/total failure) also showed no clinically significant differences between groups. Logistic regression analysis was performed to determine the factors associated with functional success. There were no statistically significant factors in age, sex, scintigraphy type, pre-operative endoscopic grade, post-operative granuloma, and synechiae. In patients with nasolacrimal duct obstruction, preoperative evaluation of obstruction level using dacryoscintigraphy may be not useful for predicting the functional success of the endoscopic dacryocystorhinostomy.
Tài liệu tham khảo
Wearne MJ, Pitts J, Frank J, Rose GE (1999) Comparison of dacryocystography and lacrimal scintigraphy in the diagnosis of functional nasolacrimal duct obstruction. Br J Ophthalmol 83:1032–1035
Peter NM, Pearson AR (2009) Comparison of dacryocystography and lacrimal scintigraphy in the investigation of epiphora in patients with patent but nonfunctioning lacrimal systems. Ophthal Plast Reconstr Surg 25:201–205. https://doi.org/10.1097/IOP.0b013e3181a2ef32
Jawaheer L, MacEwen CJ, Anijeet D (2017) Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction. Cochrane Database Syst Rev 2:CD007097. https://doi.org/10.1002/14651858.CD007097.pub3
Jung SK, Kim YC, Cho WK, Paik JS, Yang SW (2015) Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of 1083 consecutive cases. Can J Ophthalmol 50:466–470. https://doi.org/10.1016/j.jcjo.2015.08.007
Peng W, Tan B, Wang Y, Wang H, Wang Z, Liang X (2017) A modified preserved nasal and lacrimal flap technique in endoscopic dacryocystorhinostomy. Sci Rep 7:6809. https://doi.org/10.1038/s41598-017-07364-9
Su PY (2018) Comparison of endoscopic and external dacryocystorhinostomy for treatment of primary acquired nasolacrimal duct obstruction. Taiwan J Ophthalmol 8:19–23. https://doi.org/10.4103/tjo.tjo_10_18
Leong SC, Macewen CJ, White PS (2010) A systematic review of outcomes after dacryocystorhinostomy in adults. Am J Rhinol Allergy 24:81–90. https://doi.org/10.2500/ajra.2010.24.3393
Marcet MM, Kuk AK, Phelps PO (2014) Evidence-based review of surgical practices in endoscopic endonasal dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction and other new indications. Curr Opin Ophthalmol 25:443–448. https://doi.org/10.1097/ICU.0000000000000084
Coumou AD, Genders SW, Smid TM, Saeed P (2017) Endoscopic dacryocystorhinostomy: long-term experience and outcomes. Acta Ophthalmol 95:74–78. https://doi.org/10.1111/aos.13217
Baek JS, Jeong SH, Lee JH, Choi HS, Kim SJ, Jang JW (2017) Cause and management of patients with failed endonasal dacryocystorhinostomy. Clin Exp Otorhinolaryngol 10:85–90. https://doi.org/10.21053/ceo.2016.00192
Shams PN, Chen PG, Wormald PJ, Sloan B, Wilcsek G, McNab A, Selva D (2014) Management of functional epiphora in patients with an anatomically patent dacryocystorhinostomy. JAMA Ophthalmol 132:1127–1132. https://doi.org/10.1001/jamaophthalmol.2014.1093
Palaniswamy SS, Subramanyam P (2012) Dacryoscintigraphy: an effective tool in the evaluation of postoperative epiphora. Nucl Med Commun 33:262–267. https://doi.org/10.1097/MNM.0b013e32834f6cf7
Detorakis ET, Zissimopoulos A, Ioannakis K, Kozobolis VP (2014) Lacrimal outflow mechanisms and the role of scintigraphy: current trends. World J Nucl Med 13:16–21. https://doi.org/10.4103/1450-1147.138569
Sagili S, Selva D, Malhotra R (2012) Lacrimal scintigraphy: “interpretation more art than science”. Orbit 31:77–85. https://doi.org/10.3109/01676830.2011.648797
Do JR, Lee H, Baek S, Lee TS, Chang M (2016) Efficacy of postoperative mitomycin-C eye drops on the clinical outcome in endoscopic dacryocystorhinostomy. Graefes Arch Clin Exp Ophthalmol 254:785–790. https://doi.org/10.1007/s00417-015-3229-2
Chong KK, Lai FH, Ho M, Luk A, Wong BW, Young A (2013) Randomized trial on silicone intubation in endoscopic mechanical dacryocystorhinostomy (SEND) for primary nasolacrimal duct obstruction. Ophthalmology 120:2139–2145. https://doi.org/10.1016/j.ophtha.2013.02.036
Lin GC, Brook CD, Hatton MP, Metson R (2017) Causes of dacryocystorhinostomy failure: external versus endoscopic approach. Am J Rhinol Allergy 31:181–185. https://doi.org/10.2500/ajra.2017.31.4425
Yang JW, Oh HN (2012) Success rate and complications of endonasal dacryocystorhinostomy with unciformectomy. Graefes Arch Clin Exp Ophthalmol 250:1509–1513. https://doi.org/10.1007/s00417-012-1992-x
Delaney YM, Khooshabeh R (2002) External dacryocystorhinostomy for the treatment of acquired partial nasolacrimal obstruction in adults. Br J Ophthalmol 86:533–535
Chung YA, Yoo Ie R, Oum JS, Kim SH, Sohn HS, Chung SK (2005) The clinical value of dacryoscintigraphy in the selection of surgical approach for patients with functional lacrimal duct obstruction. Ann Nucl Med 19:479–483
Lee SU, Kim EH, Lee JE, Lee JS (2006) The clinical outcome of silicone tube intubation according to nasolacrimal duct obstruction sites by dacryoscintigraphy. J Kor Ophthalmol Soc 47(6):863–70
Peter NM, Pearson AR (2010) External dacryocystorhinostomy for the treatment of epiphora in patients with patent but non-functioning lacrimal systems. Br J Ophthalmol 94:233–235. https://doi.org/10.1136/bjo.2008.152157
Lee J, Yang SW, Lee H, Chang M, Park M, Baek S (2015) Association of rhinostomy shape and surgical outcome after endoscopic endonasal dacryocystorhinostomy. Graefes Arch Clin Exp Ophthalmol 253:1601–1607. https://doi.org/10.1007/s00417-015-2967-5
Shin HJ, Woo KI, Kim YD (2017) Factors associated with rhinostomy shape after endoscopic dacryocystorhinostomy. Clin Otolaryngol 42:550–556. https://doi.org/10.1111/coa.12767