Bilateral simultaneous endoscopic dacryocystorhinostomy: outcome and impact on the quality of life of the patients
Int. arch. otorhinolaryngol. (Impr.)
;
23(2): 191-195, 2019. tab
Article
in English
| LILACS
| ID: biblio-1015264
ABSTRACT
Introduction: Bilateral simultaneous endoscopic dacryocystorhinostomy (endo-DCR) has received little attention in the literature, thus many surgeons continue to address bilateral nasolacrimal duct obstruction at two stages, rather than in the same setting. Objective: To evaluate the feasibility and the outcome of simultaneous bilateral Endo- DCR and its impact on the quality of life of the patients. Methods: We have conducted a retrospective analysis of patients who underwent bilateral simultaneous endo-DCR between March 2013 and February 2017 at our tertiary care institution. The reviewed data included clinical presentation; operative details; success rate; pre and postoperative evaluation of the symptoms of the patients, using the Nasolacrimal Duct Obstruction Symptom Score Questionnaire; satisfaction of the patients, and improvement in the quality of life, assessed by the Glasgow Benefit Inventory (GBI) questionnaire. Results: Out of 128 cases in which endo-DCRs were performed, 13 were bilateral (26 sides). Postoperative success was documented in 24 of the 26 sides (92.3%), with a mean follow-up duration of 16.2 months. The two failed sides were reported in the same case. The preoperative symptom score ranged between 12 and 80 (mean ± standard deviation [SD]: 38.23 ± 15.7). The postoperative symptom score was significantly lower (mean ± SD: 5.4 ± 12.9). The success rates in unilateral and bilateral cases were comparable, with no statistically significant difference. A notable improvement in the quality of life of the patients was also reported, with a mean GBI score of 81.38 ± 12.37. Conclusion: Our results support that a simultaneous bilateral endo-DCR is a safe procedure that offers a high success rate, spares the patient from the stress of a second surgery, provides the patient with a bilateral resolution of the symptoms, and confers an immediate improvement in the quality of life of the patients (AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Quality of Life
/
Dacryocystorhinostomy
/
Endoscopy
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Int. arch. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2019
Type:
Article
Affiliation country:
Egypt
/
Saudi Arabia
Institution/Affiliation country:
Department of Ophthalmology & Otolaryngology, Umm Al-Qura University, KSA/SA
/
Department of Otorhinolaryngology, Head & Neck Surgery, Faculty of Medicine, Zagazig University/EG
/
Ear Nose and Throat Department, Head and Neck and Skull Base Center, King Abdullah Medical City (KAMC-HC), KSA/SA
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