Evaluation of endoscopic examination and paranasal computed tomography findings in failed dacryocystorhinostomy patients

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Evaluation of endoscopic examination and paranasal computed tomography findings in failed dacryocystorhinostomy patients

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https://doi.org/10.2399/jmu.2017003007
Güven Şakalar, E., Başmak, H., Gürsoy, H., & Çaklı, H. (2017). Evaluation of endoscopic examination and paranasal computed tomography findings in failed dacryocystorhinostomy patients. ENT Updates, 7(3). https://doi.org/10.2399/jmu.2017003007
Volume 7 Issue 3 (2017)
Copyright (c) 2017 Emine Güven Şakalar, Hikmet Başmak, Hüseyin Gürsoy, Hamdi Çaklı
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Emine Güven Şakalar

    Department of Otorhinolaryngology, Yunus Emre State Hospital, Eskişehir, Turkey
  • Hikmet Başmak

    Department of Ophthalmology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
  • Hüseyin Gürsoy

    Department of Ophthalmology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
  • Hamdi Çaklı

    Department of Otorhinolaryngology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey

Objective: The aim of this study is to evaluate endoscopic and paranasal computed tomography (PNCT) findings in cases of failed dacryocystorhinostomy (DCR).

Methods: This study included 30 cases of failed DCR (18 females, 12 males; mean age: 49.9±18.9 years) and 30 successful DCR patients (20 females, 9 males; mean age: 56.3±15.9 years). The reasons for the recurrence of the disease were evaluated using preoperative endoscopic examination and PNCT findings.

Results: Endoscopic pathology was identified in 24 out of 30 failed cases (80%), while endoscopic pathology was identified in 12 out of 30 successful cases (40%) (p<0.05). PNCT revealed nasal pathology in 24 out of 30 failed cases (80%), and in 15 out of 30 successful cases (50%) (p<0.05).

Conclusion: Endonasal and sinonasal pathologies may be associated with DCR failure. Before the commencement of revision DCR, endoscopic examination and PNCT may provide valuable information regarding the underlying etiology.

Keywords:

Dacryocystorhinostomy endoscopic examination failed nasal endoscopy paranasal computed tomography (PNCT)

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