No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

Eye volume 34, pages1454–1458(2020)Cite this article

Subjects

Abstract

Objective

To compare the outcomes of combined endoscopic dacryocystorhinostomy (endoDCR) with nasal septoplasty for deviation of the nasal septum to endoDCR alone in cases of nasolacrimal duct obstruction (NLDO).

Methods

A retrospective cohort study that included 107 consecutive patients with NLDO, who underwent endoDCR with or without concomitant nasal septoplasty in our institution between October 2009 and October 2017.

Results

A total of 117 operations were performed (107 patients, 80.4% females; mean age ± SD 51.1 ± 19.5 years). Twenty-five (21.4%) endoscopic surgeries were combined with septoplasty (the endoDCR + septoplasty group), and 92 (78.6%) comprised endoDCR alone (the endoDCR group). There was no difference in anatomical success and functional success rates between the two groups (P = 0.76 and P = 0.18, respectively). There were no complications attributed to the septoplasty component of the surgical procedure.

Conclusion

Considerable numbers of patients undergoing endoDCR also require a septoplasty. Combining an additional procedure (septoplasty), that was not performed for its original indication but rather for facilitating the main surgical intervention (endoDCR), yields surgical success and associated complications equivalent to those of endoDCR alone.

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References

  1. 1.

    Marcet MM, Kuk AK, Phelps PO. Evidence-based review of surgical practices in endoscopic endonasal dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction and other new indications. Curr Opin Ophthalmol. 2014;25:443–8.

    Article  Google Scholar 

  2. 2.

    Figueira E, Al Abbadi Z, Malhotra R, Wilcsek G, Selva D. Frequency of simultaneous nasal procedures in endoscopic dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg. 2014;30:40–3.

    Article  Google Scholar 

  3. 3.

    Fayet B, Katowitz WR, Racy E, Ruban JM, Katowitz JA. Endoscopic dacryocystorhinostomy: the keys to surgical success. Ophthalmic Plast Reconstr Surg. 2014;30:69–71.

    Article  Google Scholar 

  4. 4.

    Elmorsy SM, Fayk HM. Nasal endoscopic assessment of failure after external dacryocystorhinostomy. Orbit. 2010;29:197–201.

    Article  Google Scholar 

  5. 5.

    Demarco R, Strose A, Araújo M, Valera FC, Moribe I, Anselmo-Lima WT. Endoscopic revision of external dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2007;137:497–9.

    Article  Google Scholar 

  6. 6.

    Paik JS, Cho WK, Yang SW. Comparison of endoscopic revision for failed primary external versus endoscopic dacryocystorhinostomy. Clin Exp Ophthalmol. 2013;41:116–21.

    Article  Google Scholar 

  7. 7.

    Ali MJ, Psaltis AJ, Wormald PJ. The frequency of concomitant adjunctive nasal procedures in powered endoscopic dacryocystorhinostomy. Orbit. 2015;34:142–5.

    Article  Google Scholar 

  8. 8.

    Aaronson NL, Vining EM. Correction of the deviated septum: from ancient Egypt to the endoscopic era. Int Forum Allergy Rhinol. 2014;4:931–6.

    Article  Google Scholar 

  9. 9.

    Andrades P, Cuevas P, Danilla S, Bernales J, Longton C, Borel C, et al. The accuracy of different methods for diagnosing septal deviation in patients undergoing septorhinoplasty: a prospective study. J Plast Reconstr Aesthet Surg. 2016;69:848–55.

    Article  Google Scholar 

  10. 10.

    Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope. 2010;120:635–8.

    Article  Google Scholar 

  11. 11.

    Singh S, Alam MS, Ali MJ, Naik MN. Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction. Saudi J Ophthalmol. 2017;31:128–30.

    Article  Google Scholar 

  12. 12.

    Taban M, Jarullazada I, Mancini R, Hwang C, Goldberg RA. Facial asymmetry and nasal septal deviation in acquired nasolacrimal duct obstruction. Orbit. 2011;30:226–9.

    Article  Google Scholar 

  13. 13.

    Ali MJ, Psaltis AJ, Bassiouni A, Wormald PJ. Long-term outcomes in primary powered endoscopic dacryocystorhinostomy. Br J Ophthalmol. 2014;98:1678–80.

    Article  Google Scholar 

  14. 14.

    Nussbaumer M, Schreiber S, Yung MW. Concomitant nasal procedures in endoscopic dacryocystorhinostomy. J Laryngol Otol. 2004;118:267–9.

    Article  Google Scholar 

  15. 15.

    Tsirbas A, Wormald PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Br J Ophthalmol. 2003;87:43–7.

    CAS  Article  Google Scholar 

  16. 16.

    Bayraktar C, Simsek A. Increased concomitant nasal procedure frequency in bilateral endoscopic dacryocystorhinostomy. J Craniofac Surg. 2017;28:980–2.

    Article  Google Scholar 

  17. 17.

    Chan DM, Golubev I, Shipchandler TZ, Nunery WR, Lee HB. Improving outcomes by combining septoplasty with primary external dacryocystorhinostomy. Am J Otolaryngol. 2014;35:309–12.

    Article  Google Scholar 

  18. 18.

    Ari S, Kürşat CA, Sahin A, Gün R, Kiniş V, Caça I. Outcomes of revision external dacryocystorhinostomy and nasal intubation by bicanalicular silicone tubing under endonasal endoscopic guidance. Int J Ophthalmol. 2012;5:238–41.

    PubMed  PubMed Central  Google Scholar 

  19. 19.

    Liang J, Hur K, Merbs SL, Lane AP. Surgical and anatomic considerations in endoscopic revision of failed external dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2014;150:901–5.

    Article  Google Scholar 

  20. 20.

    Yarmohammadi ME, Ghasemi H, Jafari F, Izadi P, Nadoushan MJ, Chin NS. Teamwork endoscopic endonasal surgery in failed external dacryocystorhinostomy. J Ophthalmic Vis Res. 2016;11:282–6.

    Article  Google Scholar 

  21. 21.

    El-Guindy A, Dorgham A, Ghoraba M. Endoscopic revision surgery for recurrent epiphora occurring after external dacryocystorhinostomy. Ann Otol Rhinol Laryngol. 2000;109:425–30.

    CAS  Article  Google Scholar 

  22. 22.

    Knisely A, Harvey R, Sacks R. Long-term outcomes in endoscopic dacryocystorhinostomy. Curr Opin Otolaryngol Head Neck Surg. 2015;23:53–8.

    PubMed  Google Scholar 

  23. 23.

    Korkut AY, Teker AM, Yazici MZ, Kahya V, Gedikli O, Kayhan FT. Surgical outcomes of primary and revision endoscopic dacryocystorhinostomy. J Craniofac Surg. 2010;21:1706–8.

    Article  Google Scholar 

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Affiliations

  1. Goldschleger Eye Institute, Sheba Medical Center, Ramat Gan, Israel

    Tal Koval, Ofira Zloto, Guy J. Ben Simon, Elad Ben Artsi, Alon Weissman & Ayelet Priel

  2. Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel

    Tal Koval, Ofira Zloto, Arkadi Yakirevitch, Guy J. Ben Simon, Elad Ben Artsi, Alon Weissman & Ayelet Priel

  3. Department of Otolaryngology & Head and Neck Surgery, Sheba Medical Center, Ramat Gan, Israel

    Arkadi Yakirevitch & Joseph Ben-Shoshan

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  1. Tal Koval
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  2. Ofira Zloto
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  3. Arkadi Yakirevitch
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Correspondence to Ayelet Priel.

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Koval, T., Zloto, O., Yakirevitch, A. et al. No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy. Eye 34, 1454–1458 (2020). https://doi.org/10.1038/s41433-019-0696-4

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