Endoscopic dacryocystorhinostomy with silicone, polypropylene, and T-tube stents; randomized controlled trial of efficacy and safety

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dc.authoridGorur, Hatice/0000-0002-1242-6186
dc.contributor.authorOkuyucu, Semsettin
dc.contributor.authorGorur, Hatice
dc.contributor.authorOksuz, Huseyin
dc.contributor.authorAkoglu, Ertap
dc.date.accessioned2024-09-18T21:06:36Z
dc.date.available2024-09-18T21:06:36Z
dc.date.issued2015
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: To compare the efficacy and safety of endoscopic dacryocystorhinostomy (En-DCR) with different stent materials for lacrimal sac intubation inprimary nasolacrimal ductal obstructions. Study Design: Randomized controlled study with three parallel groups. Level of evidence is 1b. Methods: A total of 91 patients (five bilateral) with primary nasolacrimal duct obstruction (NLDO) at a tertiary referral center scheduled for En-DCR were to allocated into three stent groups with a sealed envelope and were randomized into three treatments: silicone, Prolene (polypropylene), and otologic T-tube. Ophthalmology and otolaryngology clinics evaluated the patients preoperatively and postoperatively with endoscopes, lacrimal system syringing, and dacryocystography. The success of the stents was evaluated 12 months after surgery with symptom relief and ostial patency. Complications were also noted. Results: The overall success rate of the En-DCR in the stent groups was 78.1% (75/96); specifically, 87.5% (28/32) with silicone, 84.4% (27/32) with Prolene, and 62.5% (20/32) with T-tube. The efficacy of the procedures with the T-tube was significantly lower than that of the Prolene and silicone (p =.031, x(2) test). There were no significant differences between the silicone and Prolene (p =.718, x(2) test). Prolene was found to be related with orbital complications. Spontaneous loss is a particular complication of otologic T-tube and highly portends to failure. Conclusions: The results of our study suggest that efficacy, defined as anatomic and functional success, is equally high for silicone and Prolene stents and lower for otologic T-tube in En-DCR.en_US
dc.description.sponsorshipScience Research Projects Commission of Mustafa Kemal Universityen_US
dc.description.sponsorshipThe study was supported by the Science Research Projects Commission of Mustafa Kemal Universityen_US
dc.identifier.doi10.2500/ajra.2015.29.4119
dc.identifier.endpage68en_US
dc.identifier.issn1945-8924
dc.identifier.issn1945-8932
dc.identifier.issue1en_US
dc.identifier.pmid25590323en_US
dc.identifier.scopus2-s2.0-84921038468en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage63en_US
dc.identifier.urihttps://doi.org/10.2500/ajra.2015.29.4119
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13722
dc.identifier.volume29en_US
dc.identifier.wosWOS:000351717100020en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherOcean Side Publications Incen_US
dc.relation.ispartofAmerican Journal of Rhinology & Allergyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransnasal Dacryocystorhinostomyen_US
dc.subjectEndonasal Dacryocystorhinostomyen_US
dc.subjectExternal Dacryocystorhinostomyen_US
dc.subjectExperienceen_US
dc.subjectMucosalen_US
dc.subjectOstiumen_US
dc.titleEndoscopic dacryocystorhinostomy with silicone, polypropylene, and T-tube stents; randomized controlled trial of efficacy and safetyen_US
dc.typeArticleen_US

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