Endoscopic dacryocystorhinostomy – Recurrence predictive factors

Authors

  • Sonia Pereira Interno do Internato Complementar de Otorrinolaringologia do Centro Hospitalar de Lisboa Central – Hospital de São José, Lisboa, Portugal
  • Sara Baptista Assistente Hospitalar do Serviço de ORL do Centro Hospitalar de Lisboa Central – Hospital de São José, Lisboa, Portugal
  • Ana Casas Novas Interno do Internato Complementar de Otorrinolaringologia do Centro Hospitalar de Lisboa Central – Hospital de São José, Lisboa, Portugal
  • Rudolfo Montemor Interno do Internato Complementar de Otorrinolaringologia do Centro Hospitalar de Lisboa Central – Hospital de São José, Lisboa, Portugal
  • José Araújo Martins Interno do Internato Complementar de Otorrinolaringologia do Centro Hospitalar de Lisboa Central – Hospital de São José, Lisboa, Portugal
  • Ezequiel Barros Chefe de Serviço do Serviço de ORL do Centro Hospitalar de Lisboa Central – Hospital de São José, Lisboa, Portugal

DOI:

https://doi.org/10.34631/sporl.174

Keywords:

dacryocystorhinostomy, endoscopic, success rate, predictive factors for failure, nasosinusal pathology, concomitant procedures

Abstract

Endoscopic dacryocystorhinostomy (DCR) is increasing its popularity as the preferred treatment for lachrymal duct blockage, due to its high success rate, fast healing and avoidance of facial scar.

Aiming to analyse endoscopic DCR success rate in Hospital de São José’s Otolaryngology Department and to establish eventual predictive factors for failure, we present a retrospective study of the last four years.

Our global success rate (86,5%) was similar to literature but inferior (73,9%) in patients with co-existent nasosinusal pathology. However, a higher success rate was accomplished by those patients (90,9%), when submitted to concomitant nasal procedures to correct their nasosinusal problems.

Regarding nasosinusal pathology prevalence and its importance to endoscopic DCR success rate, we defend that otolaryngologists should keep this pathology in mind, aiming to a prompt surgical correction.

References

Klap P, Bernard JA, Cohen M, Ameline V et al. Dacryocystorhinostomie endoscopique. In: Encycl Méd Chir, Techniques chirurgicales – Tête et cou, Paris, Elsevier. 2003; 46-185:pp1-14.

Fernandes SV. Dacryocystorhinostomy. 2008; www.emedecine.com. Acedido em Abril 1, 2010.

Nussbaumer M, Schreiber S, Yung M. Concomitant nasal procedures in endoscopic dacryocystorhinostomy. Journal of Laryngology and Otology. 2004 Apr; 118:267-269.

How to Cite

Pereira, S., Baptista, S., Casas Novas, A., Montemor, R., Martins, J. A., & Barros, E. (2011). Endoscopic dacryocystorhinostomy – Recurrence predictive factors. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 49(3), 151–154. https://doi.org/10.34631/sporl.174

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Section

Original Article