Minimum incision no skin suture external dacryocystorhinostomy

Ophthalmic Plast Reconstr Surg. 2014 Sep-Oct;30(5):405-9. doi: 10.1097/IOP.0000000000000131.

Abstract

Purpose: To report the technique and results of 5-mm incision no skin suture external dacryocystorhinostomy procedure (Ext-DCR).

Methods: In a retrospective interventional case series, 77 patients (85 procedures) with nasolacrimal duct obstruction (NLDO) were included. The size of skin incision was 5 mm. Silicone tube was inserted in all and planned to be removed 6 weeks after the operation. Functional success was defined as no symptom or just excess tear in the cold weather and anatomical success as free irrigation at last follow-up time (at least 6 months) when patients' satisfaction (visual analogue score) on the site of incision was also recorded.

Results: There were 85 procedures in 77 patients (52 women; 67.5%) with primary acquired (82) or traumatic (3) NLDO and with a mean age of 52.9 years and follow up of 12.9 months. Associated common canalicular stenosis (membrane) was found in 15 (17.6%), canalicular stenosis in 2 (2.4%), and both in 2 (2.4%) cases. Anatomical and overall functional success was 98.8% (84/85) and 95.3% (81/85), respectively. Subjects with canalicular stenosis had a lower anatomical (75%) and functional (50%) success rates, which were statistically significant (p=0.00). Wound elongation (up to 8 mm) was observed in 3 cases, which did not require skin suturing. Mean patient satisfaction score for the appearance of incision was 99.2.

Conclusion: Minimum incision (5 mm) no skin suture Ext-DCR offers high patient satisfaction and success rates.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Dacryocystorhinostomy* / methods*
  • Dermatologic Surgical Procedures*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures*
  • Nasolacrimal Duct / surgery*
  • Patient Satisfaction
  • Retrospective Studies
  • Suture Techniques*
  • Treatment Outcome