Factors affecting Recurrence of Nasolacrymal Duct Obstruction after Endonasal Dacryocystorhinostomy
Abstract
Objective: To determine factors affecting failure in endoscopic endonasal dacryocystorhinostomy.
Study design : A retrospective cohort
Methods: The study was conducted by retrospective data collection in Nakornping hospital from July
2007 to June 2017. Patients who underwent endoscopic endonasal dacryocystorhinostomy and had been
followed for at least 6 months were included. An outcome was surgical failure defined as unchanged
epiphora and irrigated nasolacrymal duct cannot pass through throat.
Results: A total of 102 patients (137 eyes) were included. The mean age was 58.04 year (SD 15.66 years),
Majorily of patients were women (85.36%). Factors affected surgical failure are dacryocytitis (Adjusted RR
2.60 ; 95% CI 1.13-5.99, p=0.024), and difficult anatomy (Adjusted RR 2.17 ; 95% CI 1.21-3.87, p=0.009).
Conclusions: Surgeons and patients should make surgery plan together for endoscopic endonasal
dacryocystorhinostomy, especially those having dacryocystitis do need an early surgery.
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