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Shifting to very early endoscopic DCR in acute suppurative dacryocystitis
Eye ( IF 2.8 ) Pub Date : 2019-12-10 , DOI: 10.1038/s41433-019-0734-2
Farzad Pakdel 1 , Mohammad Soleimani 2 , Abolfazl Kasaei 1 , Kambiz Ameli 1 , Niloofar Pirmarzdashti 3 , Ali Sadeghi Tari 1 , Mehrbod Ghasempour 4 , Ali Banafsheafshan 4
Affiliation  

We aimed to show the outcome of very early endoscopic dacryocystorhinostomy (VE-EDCR) in a routine pool of patients with acute dacryocystitis (AD) and abscess formation compared with the standard late external dacryocystorhinostomy L-ExDCR. This was a prospective nonrandomized comparative study conducted from June 2013 to March 2016. Patients with AD and abscess formation were referred to our oculo-facial clinic in a university-based hospital. All patients received systemic antibiotics and were assigned to either of treatment groups. Patients in group 1 underwent late external transcutaneous DCR (L-ExDCR) and group 2 underwent EDCR within 3 days after first visit, named VE-EDCR. Primary outcome measure was success of surgery. Forty-one eyes of 41 patients with acute suppurative AD, were included from June 2013 to March 2016. Twenty-two patients underwent VE-EDCR and 19 underwent L-ExDCR. Mean age of patients was 43.41 (SD = 19.84, range 14–98) years. Mean follow-up was 14 (SD = 2.4) months. Anatomic, functional, and overall success in L-ExDCR and VE-EDCR groups were (89.5 and 86.4%, p = 0.99) (89.5% and 86.4%, p = 0.99) (89.5% and 81.8%, p = 0.66) respectively. Mean duration of cellulitis in VE-EDCR and L-ExDCR were 8.00 (SD = 4.63) and 16.11 (SD = 11.58) days, respectively (p = 0.027). No remarkable adverse event was found. Success of very early endonasal endoscopic DCR is comparable with the traditional late external DCR. Duration of cellulitis is shorter in VE-EDCR. This therapeutic approach can be considered in patients with acute suppurative dacryocystitis.

中文翻译:

急性化脓性泪囊炎转向极早期内镜下 DCR

我们旨在展示与标准晚期外部泪囊鼻腔造口术 L-ExDCR 相比,在急性泪囊炎 (AD) 和脓肿形成患者的常规池中,极早期内镜下泪囊鼻腔造口术 (VE-EDCR) 的结果。这是一项前瞻性非随机比较研究,于 2013 年 6 月至 2016 年 3 月进行。 AD 和脓肿形成患者被转诊到我们位于大学医院的眼面部诊所。所有患者均接受全身抗生素治疗并被分配到任一治疗组。第 1 组患者接受了晚期体外经皮 DCR (L-ExDCR),第 2 组患者在首次就诊后 3 天内接受了 EDCR,称为 VE-EDCR。主要结局指标是手术成功。2013 年 6 月至 2016 年 3 月共纳入 41 例急性化脓性 AD 患者的 41 只眼。22 名患者接受了 VE-EDCR,19 名患者接受了 L-ExDCR。患者的平均年龄为 43.41(SD = 19.84,范围 14-98)岁。平均随访时间为 14 (SD = 2.4) 个月。L-ExDCR 和 VE-EDCR 组的解剖、功能和总体成功率分别为 (89.5% 和 86.4%, p = 0.99) (89.5% 和 86.4%, p = 0.99) (89.5% 和 81.8%, p = 0.66) . VE-EDCR 和 L-ExDCR 中蜂窝织炎的平均持续时间分别为 8.00 (SD = 4.63) 和 16.11 (SD = 11.58) 天 (p = 0.027)。未发现显着不良事件。非常早期的鼻内镜 DCR 的成功与传统的晚期外部 DCR 相当。VE-EDCR 中蜂窝织炎的持续时间较短。这种治疗方法可以考虑用于急性化脓性泪囊炎患者。平均随访时间为 14 (SD = 2.4) 个月。L-ExDCR 和 VE-EDCR 组的解剖、功能和总体成功率分别为 (89.5% 和 86.4%, p = 0.99) (89.5% 和 86.4%, p = 0.99) (89.5% 和 81.8%, p = 0.66) . VE-EDCR 和 L-ExDCR 中蜂窝织炎的平均持续时间分别为 8.00 (SD = 4.63) 和 16.11 (SD = 11.58) 天 (p = 0.027)。未发现显着不良事件。非常早期的鼻内镜 DCR 的成功与传统的晚期外部 DCR 相当。VE-EDCR 中蜂窝织炎的持续时间较短。这种治疗方法可以考虑用于急性化脓性泪囊炎患者。平均随访时间为 14 (SD = 2.4) 个月。L-ExDCR 和 VE-EDCR 组的解剖、功能和总体成功率分别为 (89.5% 和 86.4%, p = 0.99) (89.5% 和 86.4%, p = 0.99) (89.5% 和 81.8%, p = 0.66) . VE-EDCR 和 L-ExDCR 中蜂窝织炎的平均持续时间分别为 8.00 (SD = 4.63) 和 16.11 (SD = 11.58) 天 (p = 0.027)。未发现显着不良事件。非常早期的鼻内镜 DCR 的成功与传统的晚期外部 DCR 相当。VE-EDCR 中蜂窝织炎的持续时间较短。这种治疗方法可以考虑用于急性化脓性泪囊炎患者。VE-EDCR 和 L-ExDCR 中蜂窝织炎的平均持续时间分别为 8.00 (SD = 4.63) 和 16.11 (SD = 11.58) 天 (p = 0.027)。未发现显着不良事件。非常早期的鼻内镜 DCR 的成功与传统的晚期外部 DCR 相当。VE-EDCR 中蜂窝织炎的持续时间较短。这种治疗方法可以考虑用于急性化脓性泪囊炎患者。VE-EDCR 和 L-ExDCR 中蜂窝织炎的平均持续时间分别为 8.00 (SD = 4.63) 和 16.11 (SD = 11.58) 天 (p = 0.027)。未发现显着不良事件。非常早期的鼻内镜 DCR 的成功与传统的晚期外部 DCR 相当。VE-EDCR 中蜂窝织炎的持续时间较短。这种治疗方法可以考虑用于急性化脓性泪囊炎患者。
更新日期:2019-12-10
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