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- Title
Does Bicanalicular Intubation Improve the Outcome of Endoscopic Dacryocystorhinostomy?
- Authors
Matoušek, Petr; Lubojacký, Jakub; Masárová, Michaela; Čábalová, Lenka; Červenka, Stanislav; Komínek, Pavel
- Abstract
The aim of this study was to compare the success of endoscopic dacryocystorinostomy with and without bicanalicular intubation in the treatment of distal nasolacrimal duct obstruction. Methods: In a prospective, randomized, comparative study, endoscopic dacryocystorinostomy without bicanalicular silicone intubation (Group I) and endoscopic dacryocystorinostomy with intubation (Group II) were performed in patients with distal nasolacrimal duct obstructions. The tubes were removed 3 months after surgery in Group II, and the patients were followed up for 6 months after surgery. Therapeutic success was defined as the fluorescein dye disappearance test grade 0–1 corresponding with a complete resolution of symptoms. Results: Thirty patients, aged 23–86 years, were included in the study. The success rate was 13/15 (86.67%) in Group I and in 14/15 (93.33%) in Group II. The difference between the two groups was not statistically significant (p = 0.483). Most common complications were granulations that occurred in 1/15 (6.67%) patient in Group I and in 2/15 (13.33%) patients in Group II. Adhesions in rhinostomy with epiphora and persistent secretion were observed in 1/15 (6.67%) patient in Group II. Conclusions: Bicanalicular intubation does not significantly increase the success rate of EDCR in distal nasolacrimal obstruction in adults.
- Subjects
DACRYOCYSTORHINOSTOMY; LACRIMAL apparatus; INTUBATION; GRANULATION
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 18, pN.PAG
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11185387