Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium

E.L. Atkova

Krasnov Research Institute of Eye Diseases

ORCID: 0000-0001-9875-6217

N.N. Krakhovetskiy

Krasnov Research Institute of Eye Diseases

ORCID: 0000-0002-3247-8418

O.V. Zhukov

Research Institute of Eye Diseases

Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium

Authors:

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

More about the authors

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

DOI: 10.17116/oftalma202113701113

Downloaded: 36

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

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

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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 1^st group (41 cases) underwent endonasal balloon dacryoplasty, patients of the 2^nd group (42 cases) underwent endonasal balloon dacryoplasty with bicanalicular silicone stenting, patients of the 3^rd 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:

E.L. Atkova

Krasnov Research Institute of Eye Diseases

ORCID: 0000-0001-9875-6217

N.N. Krakhovetskiy

Krasnov Research Institute of Eye Diseases

ORCID: 0000-0002-3247-8418

O.V. Zhukov

Research Institute of Eye Diseases

Received:

06.08.2020

Accepted:

28.08.2020

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