Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/71738
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dc.contributor.authorMadge, S.en
dc.contributor.authorChan, W.en
dc.contributor.authorMalhotra, R.en
dc.contributor.authorGhabrial, R.en
dc.contributor.authorFloreani, S.en
dc.contributor.authorWormald, P.en
dc.contributor.authorTsirbas, A.en
dc.contributor.authorSelva-Nayagam, D.en
dc.date.issued2011en
dc.identifier.citationOrbit, 2011; 30(1):1-6en
dc.identifier.issn0167-6830en
dc.identifier.issn1744-5108en
dc.identifier.urihttp://hdl.handle.net/2440/71738-
dc.description.abstractOBJECTIVE: To present our experience of early endonasal DCR (endoDCR) in the treatment of acute dacryocystitis (AD). Methods. International multicenter non-comparative retrospective study. RESULTS: Eighteen patients were identified. All were treated with antibiotics prior to surgery with a median of time from referral to endoDCR surgeon to surgery of 3 days (range 1-7). Surgery was performed using mechanical powered endoDCR (MENDCR) in 15/18 (83.3%) cases; mitomycin C was used in 5/18 (27.8%) and all cases underwent bicanalicular intubation. An increase in perioperative bleeding was noted in 5/18 (27.8%), causing interference in surgical technique in one (5.6%). Resolution of AD was seen in all cases, with no recurrences. 17/18 (94.4%) cases were free of epiphora at median follow-up of 12 months (range 2-36), with nasal endoscopy revealing free flow of fluorescein through the ostium in 17/18 (94.4%) of cases. The median total length of stay was 1 night (range 0-3). CONCLUSIONS: EndoDCR surgery performed early in AD led to rapid resolution of the condition in all cases and was associated with subsequent anatomical and functional success in 94.4% of cases. Early endoDCR surgery in the context of AD and the potential associated health economic benefits are worth further consideration and study.en
dc.description.statementofresponsibilitySimon N. Madge, Weng Onn Chan, Raman Malhotra, Raf Ghabrial, Stephen Floreani, Peter J. Wormald, Angelo Tsirbas and Dinesh Selvaen
dc.language.isoenen
dc.publisherTaylor & Francis The Netherlandsen
dc.rightsCopyright © 2011 Informa Healthcare USA, Inc.en
dc.subjectEndoscopic dacryocystorhinostomy; Acute dacryocystitisen
dc.titleEndoscopic dacryocystorhinostomy in acute dacryocystitis: a multicenter case seriesen
dc.typeJournal articleen
dc.identifier.rmid0020117651en
dc.identifier.doi10.3109/01676830.2010.535952en
dc.identifier.pubid25276-
pubs.library.collectionOpthalmology & Visual Sciences publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidSelva-Nayagam, D. [0000-0002-2169-5417]en
Appears in Collections:Opthalmology & Visual Sciences publications

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