Aboauf Hana, Alawaz Razan A
Ophthalmology, Ministry of Health, Riyadh, SAU.
Ophthalmology, Saudi Board Residency Program, Medina, SAU.
Cureus. 2024 Jul 2;16(7):e63683. doi: 10.7759/cureus.63683. eCollection 2024 Jul.
Dacryocystorhinostomy (DCR) is a procedure that bypasses an obstruction in the nasolacrimal duct system. DCR can be categorized into two primary techniques: external and endoscopic. This review aims to assess the success rate of external DCR procedures, both with and without the use of a stent. This study compared the outcomes of primary DCR with and without silicone intubation in multiple studies. The reviewed studies consistently showed that silicone intubation significantly improves the success rates of DCR, with success rates ranging from 80% to 95%. The involved studies suggest that silicone intubation offers specific advantages in complex cases involving distant and common canaliculus blockages and recurrent DCR surgeries. This review emphasizes that multiple studies have documented higher success rates of external dacryocystorhinostomy (DCR) when silicone tubes are utilized as stents. Furthermore, external DCR has been identified as the preferred procedure among medical professionals.
泪囊鼻腔造口术(DCR)是一种绕过鼻泪管系统阻塞的手术。DCR可分为两种主要技术:外部手术和内窥镜手术。本综述旨在评估使用和不使用支架的外部DCR手术的成功率。本研究在多项研究中比较了有无硅胶插管的原发性DCR的结果。综述的研究一致表明,硅胶插管显著提高了DCR的成功率,成功率在80%至95%之间。相关研究表明,硅胶插管在涉及远侧和总泪小管阻塞以及复发性DCR手术的复杂病例中具有特定优势。本综述强调,多项研究记录了使用硅胶管作为支架时外部泪囊鼻腔造口术(DCR)的成功率更高。此外,外部DCR已被医疗专业人员确定为首选手术。