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Sinonasal effects of external dacryocystorhinostomy

Published online by Cambridge University Press:  13 July 2021

H Eyigor ,
E A Cetinkaya ,
D T Coban ,
G Ozturk  and
Ö Erdem
H Eyigor
Affiliation:
Department of Otorhinolaryngology University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
E A Cetinkaya*
Affiliation:
Department of Otorhinolaryngology University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
D T Coban
Affiliation:
Department of Ophthalmology University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
G Ozturk
Affiliation:
Department of Otorhinolaryngology University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
Ö Erdem
Affiliation:
Department of Otorhinolaryngology University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey
*
Author for correspondence: Dr Erdem Atalay Cetinkaya, KBB Klinigi, SBÜ Antalya Eğitim Araştırma Hastanesi, Antalya, Turkey E-mail: [email protected] Fax: +90 242 249 44 00
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Abstract

Objective

External dacryocystorhinostomy is thought to cause mucociliary dysfunction by damaging the mucosa, in turn affecting ciliary activity and mucus quality. This study investigated the effect of external dacryocystorhinostomy on sinonasal function.

Methods

Patients scheduled for unilateral external dacryocystorhinostomy who underwent endoscopic nasal examination and paranasal sinus computed tomography were included in this study. A saccharine test was performed on the planned surgical side and the mucociliary clearance time was determined. The sinonasal quality of life was measured in all patients, pre-operatively and at six months post-operatively, using the Sino-Nasal Outcome Test-22. The Lund–Kennedy endoscopic score was also determined in all patients, both pre- and post-operatively.

Results

The study comprised 28 patients (22 females and 6 males). A statistically significant difference was found between the pre- and post-operative saccharine test results (p = 0.006), but not between the pre- and post-operative Sino-Nasal Outcome Test-22 scores (p > 0.05).

Conclusion

This study is one of only a few to investigate the effect of external dacryocystorhinostomy on sinonasal function. The results showed that external dacryocystorhinostomy impairs mucociliary clearance. The surgical procedure is well tolerated and does not significantly change nasal symptom scores.

Keywords

DCRDacryocystorhinostomyNasolacrimal Duct
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 9 , September 2021 , pp. 791 - 794
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr E A Cetinkaya takes responsibility for the integrity of the content of the paper

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