The use of an ostial stent does not increase the success rate of endoscopic dacryocystorhinostomy

J Laryngol Otol. 2018 Aug;132(8):718-723. doi: 10.1017/S002221511800107X. Epub 2018 Jul 12.

Abstract

Objective: This prospective, controlled study assessed how placing a stent into a newly formed ostium affects ostial patency, success and complication rates in endoscopic dacryocystorhinostomy patients.

Methods: In group 1 (40 eyes of 36 patients), both silicone tube intubation and tube stenting were performed. In group 2 (36 eyes of 34 patients), only silicone tube intubation was performed. Success, operative time and post-surgical complications were investigated two months post-operatively in each group.

Results: The success rates were 92.5 per cent and 83.3 per cent for groups 1 and 2 respectively, but the difference was not statistically significant (p = 0.294). The complication rates also differed between the two groups, but this was again insignificant.

Conclusion: Compared with the use of a silicone tube alone, the addition of an ostial stent did not significantly increase the success rate of endoscopic dacryocystorhinostomy.

Keywords: Dacryocystorhinostomy; Endoscopy; Intubation; Lacrimal Duct Obstruction; Stents.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Dacryocystitis / complications
  • Dacryocystitis / diagnosis
  • Dacryocystitis / surgery*
  • Dacryocystorhinostomy / instrumentation*
  • Female
  • Humans
  • Intubation / instrumentation*
  • Male
  • Middle Aged
  • Natural Orifice Endoscopic Surgery / instrumentation*
  • Operative Time
  • Stents*
  • Treatment Outcome
  • Turkey