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Atkova E.L.

Krasnov Research Institute of Eye Diseases

Krakhovetskiy N.N.

Krasnov Research Institute of Eye Diseases

Zhukov O.V.

Research Institute of Eye Diseases

Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium

Authors:

Atkova E.L., Krakhovetskiy N.N., Zhukov O.V.

More about the authors

Journal: Russian Annals of Ophthalmology. 2021;137(1): 13‑20

DOI: 10.17116/oftalma202113701113

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Table of contents

ENDONASAL BALLOON DACRYOPLASTY IN PARTIAL AND COMPLETE OBSTRUCTION OF DACRYOCYSTORHINOSTOMY OSTIUM
ENDONASAL BALLOON DACRYOPLASTY IN PARTIAL AND COMPLETE OBSTRUCTION OF DACRYOCYSTORHINOSTOMY OSTIUM

To cite this article:

Atkova EL, Krakhovetskiy NN, Zhukov OV. Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium. Russian Annals of Ophthalmology. 2021;137(1):13‑20. (In Russ., In Engl.)
https://doi.org/10.17116/oftalma202113701113

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Despite the success of dacryocystorhinostomy (DCR) in the treatment of lacrimal drainage system (LDS) obliteration and the use of medical and surgical methods to prevent its recurrence, the number of relapses reaches 37%. The main etiological factor leading to this pathology is partial (stenosis) or complete obstruction of the ostium.

PURPOSE

To study the effectiveness of endonasal balloon dacryoplasty in partial or complete obstruction of dacryocystorhinostomy ostium.

MATERIAL AND METHODS

The study involved 122 patients (127 cases) with relapse after endonasal endoscopic dacryocystorhinostomy performed 6 months to 3 years ago to treat partial or complete obstruction of lacrimal sac neck. Patients of the 1st group (41 cases) underwent endonasal balloon dacryoplasty, patients of the 2nd group (42 cases) underwent endonasal balloon dacryoplasty with bicanalicular silicone stenting, patients of the 3rd group (44 cases) underwent revision endonasal endoscopic dacryocystorhinostomy with bicanalicular silicone stenting.

RESULTS

After 12 months follow-up, positive results were observed in 85.7% of cases with ostium stenosis and 80.0% of cases with complete obstruction of the ostium among group 1 patients; in 86.4% of cases with ostium stenosis and 85.0% of cases with complete obstruction of the ostium among group 2 patients; and in 81.0% of cases with ostium stenosis and 82.6% of cases with complete obstruction of the ostium among group 3 patients.

CONCLUSION

The obtained results give grounds to recommend inclusion of endonasal balloon dacryoplasty in the standards of treatment for patients with partial (stenosis) and complete obliteration of dacryocystorhinostomy ostium.

Keywords:

dacryocystorhinostomy
ostium
endonasal balloon
dacryoplasty
revision surgery

Authors:

Atkova E.L.

Krasnov Research Institute of Eye Diseases

Krakhovetskiy N.N.

Krasnov Research Institute of Eye Diseases

Zhukov O.V.

Research Institute of Eye Diseases

Received:

06.08.2020

Accepted:

28.08.2020

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References:

  1. Jawaheer L, MacEwen CJ, Anijeet D. Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction. Cochrane Database Syst Rev. 2017;2(2):CD007097. Published 2017 Feb 24.  https://doi.org/10.1002/14651858.CD007097.pub3
  2. Dalgic A, Ceylan ME, Çelik Ç, Aliyeva A, Aksoy GY, Edizer DT. Outcomes of Endoscopic Powered Revision Dacryocystorhinostomy. J Craniofac Surg. 2018;29(7):1960-1962. https://doi.org/10.1097/SCS.0000000000004881
  3. Akcay E, Yuksel N, Ozen U. Revision External Dacryocystorhinostomy Results After a Failed Dacryocystorhinostomy Surgery. Ophthalmol Ther. 2016; 5(1):75-80.  https://doi.org/10.1007/s40123-016-0048-4
  4. Agarwal S. Endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction. J Laryngol Otol. 2009;123(11):1226-1228. https://doi.org/10.1017/S0022215109990776
  5. Hodgson N, Bratton E, Whipple K, Priel A, Oh SR, Fante RG, Kikkawa DO, Korn BS. Outcomes of endonasal dacryocystorhinostomy without mucosal flap preservation. Ophthal Plast Reconstr Surg. 2014;30(1):24-27.  https://doi.org/10.1097/iop.0b013e3182a7502e
  6. Wladis EJ, Aakalu VK, Yen MT, Bilyk JR, Sobel RK, Mawn LA. Balloon Dacryoplasty for Congenital Nasolacrimal Duct Obstruction: A Report by the American Academy of Ophthalmology. Ophthalmology. 2018;125(10): 1654-1657. https://doi.org/10.1016/j.ophtha.2018.05.005
  7. Couch SM, White WL. Endoscopically assisted balloon dacryoplasty treatment of incomplete nasolacrimal duct obstruction. Ophthalmology. 2004; 111(3):585-589.  https://doi.org/10.1016/j.ophtha.2003.06.013
  8. Ali MJ, Naik MN. Efficacy of endoscopic guided anterograde 3 mm balloon dacryoplasty with silicone intubation in treatment of acquired partial nasolacrimal duct obstruction in adults. Saudi J Ophthalmol. 2014;28(1):40-43.  https://doi.org/10.1016/j.sjopt.2013.12.004
  9. Lee A, Ali MJ, Li EY, Wong AC, Yuen HK. Balloon dacryoplasty in internal ostium stenosis after endoscopic dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg. 2014;30(1):7-10.  https://doi.org/10.1097/IOP.0b013e3182a74e1d
  10. Mishra AK, Nilakantan A, Mishra S, Mallick A. Comparison of balloon dacryocystorhinostomy with conventional endonasal endoscopic dacryocystorhinostomy for relief of acquired distal nasolacrimal drainage obstruction and its impact on quality of life: A prospective, randomized, controlled study. Med J Armed Forces India. 2018;74(3):255-263.  https://doi.org/10.1016/j.mjafi.2017.08.010
  11. At’kova EL, Fedorov AA, Yartsev VD, Root AO. Developing the optimal protocol for balloon dacryoplasty. Vestnik oftal’mologii. 2015;131(2):99-104. (In Russ.). https://doi.org/10.17116/oftalma2015131299-104
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