Ali Mohammad Javed, Singh Manpreet, Chisty Naja, Kamal Saurabh, Naik Milind N
The Institute of Dacryology, L.V. Prasad Eye Institute, Road No 2, Banjara Hills, Hyderabad, 500034, India.
Rocky Vista University College of Osteopathic Medicine, Parker, CO, USA.
Eur Arch Otorhinolaryngol. 2016 Jul;273(7):1789-93. doi: 10.1007/s00405-015-3826-z. Epub 2015 Nov 3.
Ultrasonic endoscopic dacryocystorhinostomy (UEnDCR) is emerging alternative modality of managing nasolacrimal duct obstructions. The aim of this study was to report the clinical profile and outcomes with a UEnDCR with mitomycin C and silicone intubation. Prospective interventional case series performed on all consecutive patients undergoing an ultrasonic endoscopic dacryocystorhinostomy over a 1-year period from September 2013 to October 2014. All surgeries were performed by a single surgeon (MJA). Data collected include demographics, presentation, indications for surgery, past interventions, intraoperative and post-operative complications and outcomes. The main outcome measures were anatomical and functional success of the surgery. 44 procedures were performed in 41 patients. The mean age was 31.6 years. Children with complex congenital nasolacrimal duct obstructions refractory to probing and intubation accounted for 17 % (7/41) of the cohort. Past history of acute dacryocystitis was noted in 35.6 % (15/41). Two patients (4.9 %, 2/41) had failed external DCR. A minimal follow-up of 6 months following surgery was taken for final analysis. Complications included intraoperative focal epithelial burn in one patient that healed spontaneously and post-operative ostium granulomas in 15.9 % (7/44) of the ostia. At the 6-month follow-up, anatomical and functional successes were noted in 93.1 % (41/44) and 88.6 % (39/44), respectively. Ultrasonic dacryocystorhinostomy is a safe and effective alternative modality in the management of nasolacrimal duct obstructions in pediatric and adult age groups. Setup was easy and no additional technical difficulties were observed.
超声内镜下泪囊鼻腔造口术（UEnDCR）是治疗鼻泪管阻塞的一种新兴替代方法。本研究的目的是报告使用丝裂霉素C和硅胶插管的超声内镜下泪囊鼻腔造口术的临床特征和结果。对2013年9月至2014年10月期间连续接受超声内镜下泪囊鼻腔造口术的所有患者进行前瞻性干预病例系列研究。所有手术均由一名外科医生（MJA）进行。收集的数据包括人口统计学资料、临床表现、手术指征、既往干预措施、术中及术后并发症和结果。主要结局指标是手术的解剖学和功能学成功。41例患者共进行了44次手术。平均年龄为31.6岁。对探查和插管治疗无效的复杂先天性鼻泪管阻塞患儿占队列的17%（7/41）。35.6%（15/41）的患者有急性泪囊炎病史。2例患者（4.9%，2/41）外路泪囊鼻腔造口术失败。术后至少随访6个月进行最终分析。并发症包括1例患者术中局部上皮烧伤，自行愈合，以及15.9%（7/44）的造口术后造口肉芽肿。在6个月的随访中，解剖学和功能学成功率分别为93.1%（41/44）和88.6%（39/44）。超声泪囊鼻腔造口术是治疗儿童和成人鼻泪管阻塞的一种安全有效的替代方法。设置简便，未观察到额外的技术困难。
