Mechanical transnasal endoscopic dacryocystorhinostomy versus transcanalicular multidiode laser dacryocystorhinostomy: long-term results of a prospective study

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dc.authoridAkcam, Hanife Tuba/0000-0001-5111-2270
dc.contributor.authorAkcam, Hanife Tuba
dc.contributor.authorKonuk, Onur
dc.date.accessioned2021-12-01T18:48:07Z
dc.date.available2021-12-01T18:48:07Z
dc.date.issued2021
dc.department[Belirlenecek]en_US
dc.description.abstractThe purpose of this study is to compare two dacryocystorhinostomy (DCR) techniques in epiphora treatment. This study is a prospective randomized trial. Twenty-nine patients presenting persistent epiphora due to primary acquired nasolacrimal duct obstruction (PANDO) were included in the study. Two groups each consisting of 15 eyes were formed. Mechanical transnasal endoscopic DCR (MTE-DCR) was applied to the first group, while transcanalicular dacryocystorhinostomy with multidiode laser (TCML-DCR) techniques is employed in the second group. Follow-up is conducted in the first day, first week, and first month of the dacryocystorhinostomy which is followed by 4-month follow-up period, and results were compared using statistical methods. The main outcome measures were the elimination of epiphora and unrestricted flow of irrigated saline to the nose. Seven patients were male, 22 were female, and the mean age was 39.3 +/- 12.5 years. Mean follow-up times were 111.3 +/- 10.5 months and 93 +/- 2.9 months in group 1 and group 2, respectively. Complete resolution is achieved in group 1, whereas failures stemming from canalicular stenosis and fibrosis at osteotomy site are recorded in two cases in group 2. Occlusion occurred in the fifth month in both cases. Thus, long-term success rates were 100% in the first and 86.6% in the second group (P = 0.483). MTE-DCR is a strong substitute for external DCR. Although TCML-DCR shows promising results, it is far away from becoming the gold standard technique in epiphora treatment.en_US
dc.identifier.doi10.1007/s10103-020-03038-7
dc.identifier.endpage356en_US
dc.identifier.issn0268-8921
dc.identifier.issn1435-604X
dc.identifier.issue2en_US
dc.identifier.pmid32435908en_US
dc.identifier.scopus2-s2.0-85085320553en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage349en_US
dc.identifier.urihttps://doi.org/10.1007/s10103-020-03038-7
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10459
dc.identifier.volume36en_US
dc.identifier.wosWOS:000534450400001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer London Ltden_US
dc.relation.ispartofLasers In Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDacryocystorhinostomyen_US
dc.subjectLaser DCRen_US
dc.subjectMultidiode laseren_US
dc.subjectNasolacrimal ducten_US
dc.subjectNLDOen_US
dc.subjectNasolacrimal Duct Obstructionen_US
dc.subjectAdjunctive Mitomycin-Cen_US
dc.subjectDiode-Laseren_US
dc.subjectAssisted Dacryocystorhinostomyen_US
dc.subjectSurgeryen_US
dc.subjectEndonasalen_US
dc.subjectEfficacyen_US
dc.titleMechanical transnasal endoscopic dacryocystorhinostomy versus transcanalicular multidiode laser dacryocystorhinostomy: long-term results of a prospective studyen_US
dc.typeArticleen_US

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