The osteotomy diameter in the transcanalicular laser dacryocystorhinostomy. Our experience in 192 lacrimal pathways
We want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes. A retrospective study was performed in patients who underwent TCL-DCR from January 1, 2008, to March 1, 2019. The patients were divided into two groups: the patients in one group were subjected to LP surgery...
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| Published in: | American journal of otolaryngology Vol. 41; no. 6; p. 102677 |
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| Abstract | We want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes.
A retrospective study was performed in patients who underwent TCL-DCR from January 1, 2008, to March 1, 2019. The patients were divided into two groups: the patients in one group were subjected to LP surgery with an osteotomy diameter equal to 9 mm ± 1 mm (group A), and the patients in the other group were subjected to surgery with an osteotomy diameter equal to 14 mm ± 1 mm (group B).
A total of 159 lacrimal pathways (LPs) were operated on in group A with a success rate (SR) of 66.6%. Thirty-three LPs were operated on in group B with an SR of 81.8%.
An osteotomy diameter equal to 14 mm ± 1 mm achieved better postoperative results than an osteotomy diameter equal to 9 mm ± 1 mm.
•The main reason for TCL-DCR postoperative failure is the stenosis of the ostium.•A larger osteotomy diameter was the key to improving our SR.•Osteotomy diameters equal to 14 mm ± 1 mm achieved better postoperative outcomes. |
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| AbstractList | We want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes.
A retrospective study was performed in patients who underwent TCL-DCR from January 1, 2008, to March 1, 2019. The patients were divided into two groups: the patients in one group were subjected to LP surgery with an osteotomy diameter equal to 9 mm ± 1 mm (group A), and the patients in the other group were subjected to surgery with an osteotomy diameter equal to 14 mm ± 1 mm (group B).
A total of 159 lacrimal pathways (LPs) were operated on in group A with a success rate (SR) of 66.6%. Thirty-three LPs were operated on in group B with an SR of 81.8%.
An osteotomy diameter equal to 14 mm ± 1 mm achieved better postoperative results than an osteotomy diameter equal to 9 mm ± 1 mm.
•The main reason for TCL-DCR postoperative failure is the stenosis of the ostium.•A larger osteotomy diameter was the key to improving our SR.•Osteotomy diameters equal to 14 mm ± 1 mm achieved better postoperative outcomes. OBJECTIVESWe want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes. METHODSA retrospective study was performed in patients who underwent TCL-DCR from January 1, 2008, to March 1, 2019. The patients were divided into two groups: the patients in one group were subjected to LP surgery with an osteotomy diameter equal to 9 mm ± 1 mm (group A), and the patients in the other group were subjected to surgery with an osteotomy diameter equal to 14 mm ± 1 mm (group B). RESULTSA total of 159 lacrimal pathways (LPs) were operated on in group A with a success rate (SR) of 66.6%. Thirty-three LPs were operated on in group B with an SR of 81.8%. CONCLUSIONAn osteotomy diameter equal to 14 mm ± 1 mm achieved better postoperative results than an osteotomy diameter equal to 9 mm ± 1 mm. We want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes. A retrospective study was performed in patients who underwent TCL-DCR from January 1, 2008, to March 1, 2019. The patients were divided into two groups: the patients in one group were subjected to LP surgery with an osteotomy diameter equal to 9 mm ± 1 mm (group A), and the patients in the other group were subjected to surgery with an osteotomy diameter equal to 14 mm ± 1 mm (group B). A total of 159 lacrimal pathways (LPs) were operated on in group A with a success rate (SR) of 66.6%. Thirty-three LPs were operated on in group B with an SR of 81.8%. An osteotomy diameter equal to 14 mm ± 1 mm achieved better postoperative results than an osteotomy diameter equal to 9 mm ± 1 mm. |
| ArticleNumber | 102677 |
| Author | Rodríguez, Miguel Ángel Guillén, Alberto Raposo, Alberto Blesa, Jerónimo Lajara García-Purriños, Francisco |
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| Keywords | Success rate Larger osteotomy Transcanalicular dacryocystorhinostomy Osteotomy diameter |
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| References | Piedrola (bb0030) 2008; 59 Joshi (bb0010) 2011; 59 Espuch (bb0025) 2015 Raposo, Garcia-Purriños, Piqueras, Martínez-Martinez, Lajara (bb0015) 2017; 274 Ali, Psaltis, Wormald (bb0045) 2014 Nacaroglu1, Ogreden, Yılmaz, Atalay, Kirgiz (bb0035) 2018; 13 Alañón, Alañón, Martínez, Cárdenas (bb0040) 2004; 79 Balikoglu-Yilmaz (bb0050) 2015; 31 Kim, Paik, Jung, Cho, Yang (bb0020) 2013; 270 Nuhoglu, Gurbuz, Eltutar (bb0005) 2012; 32 Raposo (10.1016/j.amjoto.2020.102677_bb0015) 2017; 274 Nacaroglu1 (10.1016/j.amjoto.2020.102677_bb0035) 2018; 13 Nuhoglu (10.1016/j.amjoto.2020.102677_bb0005) 2012; 32 Joshi (10.1016/j.amjoto.2020.102677_bb0010) 2011; 59 Kim (10.1016/j.amjoto.2020.102677_bb0020) 2013; 270 Balikoglu-Yilmaz (10.1016/j.amjoto.2020.102677_bb0050) 2015; 31 Alañón (10.1016/j.amjoto.2020.102677_bb0040) 2004; 79 Ali (10.1016/j.amjoto.2020.102677_bb0045) 2014 Piedrola (10.1016/j.amjoto.2020.102677_bb0030) 2008; 59 Espuch (10.1016/j.amjoto.2020.102677_bb0025) |
| References_xml | – volume: 274 start-page: 3135 year: 2017 end-page: 3138 ident: bb0015 article-title: Anatomical variants and bilateral lacrimal pathaways surgery. Avoiding unnecessary surgery publication-title: Eur Arch Otorhinolaryngol contributor: fullname: Lajara – volume: 59 start-page: 383 year: 2011 end-page: 385 ident: bb0010 article-title: Conventional dacryocystorhinostomy in a failed Trans-canalicular laser-assisted dacryocystorhinostomy publication-title: Indian J Ophthalmol contributor: fullname: Joshi – volume: 270 start-page: 2677 year: 2013 end-page: 2682 ident: bb0020 article-title: No thermal tool using methods in endoscopic dacryocystorhinostomy: no cautery, no drill, no illuminator, no more tears publication-title: Eur Arch Otorhinolaryngol contributor: fullname: Yang – volume: 32 start-page: 258 year: 2012 end-page: 262 ident: bb0005 article-title: Long-term outcomes after transcanalicular laser dacryocystorhinostomy publication-title: Acta Otorhinolaryngol Ital contributor: fullname: Eltutar – volume: 59 start-page: 283 year: 2008 end-page: 287 ident: bb0030 article-title: Endonasal versus trans-canalicular endoscopic dacriocystorhinostomy using diode laser. 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| Snippet | We want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes.
A retrospective study was performed in patients who underwent... ObjectivesWe want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes.MethodsA retrospective study was performed in patients... OBJECTIVESWe want to evaluate the influence of the size of the osteotomy on the postsurgical outcomes. METHODSA retrospective study was performed in patients... |
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| SubjectTerms | Biomedical materials Dacryocystorhinostomy - methods Endoscopy Eye diseases Granulomas Humans Larger osteotomy Nasolacrimal Duct - surgery Osteotomy Osteotomy - methods Osteotomy diameter Otolaryngology Patients Retrospective Studies Success rate Surgeons Surgery Transcanalicular dacryocystorhinostomy Turbinates - pathology Turbinates - surgery |
| Title | The osteotomy diameter in the transcanalicular laser dacryocystorhinostomy. Our experience in 192 lacrimal pathways |
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