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Nonconventional procedure leads to faster resolution for acute dacryocystitis
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Primary nonendoscopic endonasal dacryocystorhinostomy may lead to faster resolution for patients with acute dacryocystitis compared with those treated with delayed external dacryocystorhinostomy, according to a study.
Patients with acute dacryocystitis treated with primary nonendoscopic endonasal dacryocystorhinostomy (NEN-DCR) experienced complete resolution of their symptoms in a mean of 21.4 days compared with 38.69 days for patients treated with delayed external dacryocystorhinostomy (EXT-DCR) (P = .000014). The retrospective study included 23 patients treated with NEN-DCR and 23 patients treated with EXT-DCR.
Patients in the NEN-DCR cohort had an average of 7.82 days from presentation to surgery compared with 27.34 days in the EXT-DCR cohort.
Twenty-two patients who underwent NEN-DCR experienced anatomical success, and 20 experienced functional success. Comparable functional and anatomical outcomes were seen in the EXT-DCR patient cohort, according to the study.
Three patients in the EXT-DCR group had an ipsilateral recurrent attack of acute dacryocystitis, while none experienced this complication in the NEN-DCR group. – by Robert Linnehan
Disclosures: The authors report no relevant financial disclosures.
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