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Atkova E.L.

Krasnov Research Institute of Eye Diseases

Krakhovetskiy N.N.

M.M. Krasnov Research Institute of Eye Diseases

Nersesyan M.V.

Patrice Lumumba People’s Friendship University of Russia;
Center of Head and Neck Surgery — Ilyinskaya Hospital

Maydanova A.A.

Patrice Lumumba People’s Friendship University of Russia;
State Scientific Center of the Russian Federation — Federal Medical Biophysical Center of the Federal Medical-Biological Agency of Russia

Popadyuk V.I.

Patrice Lumumba Peoples’ Friendship University of Russia

Galkina T.A.

State Scientific Center of the Russian Federation — Federal Medical Biophysical Center of the Federal Medical-Biological Agency of Russia

Analysis of the effectiveness of bicanalicular intubation of lacrimal ducts in endonasal endoscopic dacryocystorhinostomy

Authors:

Atkova E.L., Krakhovetskiy N.N., Nersesyan M.V., Maydanova A.A., Popadyuk V.I., Galkina T.A.

More about the authors

Journal: Russian Rhinology. 2025;33(1): 36‑41

DOI: 10.17116/rosrino20253301136

Read: 775 times

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Table of contents

ANALYSIS OF THE EFFECTIVENESS OF BICANALICULAR INTUBATION OF LACRIMAL DUCTS IN ENDONASAL ENDOSCOPIC DACRYOCYSTORHINOSTOMY
ANALYSIS OF THE EFFECTIVENESS OF BICANALICULAR INTUBATION OF LACRIMAL DUCTS IN ENDONASAL ENDOSCOPIC DACRYOCYSTORHINOSTOMY

To cite this article:

Atkova EL, Krakhovetskiy NN, Nersesyan MV, Maydanova AA, Popadyuk VI, Galkina TA. Analysis of the effectiveness of bicanalicular intubation of lacrimal ducts in endonasal endoscopic dacryocystorhinostomy. Russian Rhinology. 2025;33(1):36‑41. (In Russ.)
https://doi.org/10.17116/rosrino20253301136

Подписка 2026 Российская ринология (Russian Rhinology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Endoscopic endonasal dacryocystorhinostomy (EE DCR) is the most common operation in lacrimal duct obstruction (LDO). The need for LDO intubation during its performance is an urgent issue.

OBJECTIVE

Comparison of effectiveness and frequency of postoperative complications in EE DCR with LDO intubation and without stenting.

PATIENTS AND METHODS

The study included 68 patients (80 cases) with primary postsaccal obliteration of the nasolacrimal duct after EE DCR. Patients were divided into 2 comparable groups: bicanallicular silicone lacrimal implant was placed in patients of the 1st group for 6 to 12 weeks, patients of the 2nd group underwent plastic formation of dacryostoma without subsequent intubation. The period of postoperative follow-up was 6 months. The anatomical and functional results were evaluated both by subjective (determination of lacrimation severity using the Munk scale) and by objective criteria (measurement of the tear meniscus height with optical coherence tomography, tests with fluorescein, irrigation of the lacrimal ducts, results of rhinoendoscopy).

RESULTS

Treatment effectiveness was comparable in both groups. In the 1st group, complications were more frequent in the postoperative period, which decreased the performance of interventions.

CONCLUSION

No significant differences in the effectiveness of EE DCR with LDO intubation and without it have been revealed. Thus, intubation can contribute to the development of a number of complications in the postoperative period, so it is advisable to perform it only in presence of appropriate indications, that requires further study aimed at developing a standardized algorithm.

Keywords:

lacrimal ducts
endoscopic endonasal dacryocystorhinostomy
lacrimal implant
lacrimal meniscometry

Authors:

Atkova E.L.

Krasnov Research Institute of Eye Diseases

Krakhovetskiy N.N.

M.M. Krasnov Research Institute of Eye Diseases

Nersesyan M.V.

Patrice Lumumba People’s Friendship University of Russia;
Center of Head and Neck Surgery — Ilyinskaya Hospital

Maydanova A.A.

Patrice Lumumba People’s Friendship University of Russia;
State Scientific Center of the Russian Federation — Federal Medical Biophysical Center of the Federal Medical-Biological Agency of Russia

Popadyuk V.I.

Patrice Lumumba Peoples’ Friendship University of Russia

Galkina T.A.

State Scientific Center of the Russian Federation — Federal Medical Biophysical Center of the Federal Medical-Biological Agency of Russia

Received:

23.04.2024

Accepted:

21.08.2024

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