A comparison of outcomes between nonlaser endoscopic endonasal and external dacryocystorhinostomy: single-center experience and a review of British trends.
Τίτλος | A comparison of outcomes between nonlaser endoscopic endonasal and external dacryocystorhinostomy: single-center experience and a review of British trends. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Leong, S. C., Karkos P. D., Burgess P., Halliwell M., & Hampal S. |
Journal | Am J Otolaryngol |
Volume | 31 |
Issue | 1 |
Pagination | 32-7 |
Date Published | 2010 Jan-Feb |
ISSN | 1532-818X |
Λέξεις κλειδιά | Adolescent, Adult, Aged, Aged, 80 and over, Child, Cohort Studies, Dacryocystitis, Dacryocystorhinostomy, Endoscopy, Female, Humans, Lacrimal Duct Obstruction, Lasers, Male, Middle Aged, Retrospective Studies, Treatment Outcome, United Kingdom, Young Adult |
Abstract | OBJECTIVE: The purpose of this study was to evaluate outcomes between nonlaser endonasal endoscopic and external dacryocystorhinostomy (DCR) in a district general hospital in the United Kingdom.STUDY DESIGN: We conducted retrospective case notes review and postal questionnaire.SUBJECTS AND METHODS: Case notes of patients who had DCR from August 2003 to August 2007 were reviewed. All patients were sent a questionnaire that included a visual analogue scale (VAS).RESULTS: Seventy patients were identified (35 external, 35 endoscopic). At discharge, 94% of external DCR patients reported being asymptomatic or improved compared with 86% for endoscopic DCR. The average VAS score for external DCR was 8.9 compared with 7.5 for endoscopic DCR (z = 2.1, P < .05). The average VAS score for external DCR was consistently higher than endoscopic DCR up to 30 months of follow-up.CONCLUSION: External DCR offers better outcomes than endoscopic DCR. Endoscopic DCR is associated with fewer reported complications. A postal questionnaire can be a good alternative method of assessing long-term outcomes rather than relying solely on protracted clinic follow-up. There are few published endoscopic DCR results from the UK, and formalized training must be introduced. |
DOI | 10.1016/j.amjoto.2008.09.012 |
Alternate Journal | Am J Otolaryngol |
PubMed ID | 19944897 |