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. 2024 Aug 29;13(17):5129.
doi: 10.3390/jcm13175129.

Dacryocystitis: Is Dacryocystorhinostomy Always the Solution?

Alexis Mathieu  1 , Stéphanie Baillif  2   3 , Marie-Noelle Delyfer  1   4 , Éric Longueville  1 , Valentine Coste-Verdier  1 , Jacques Lagier  2 , Abdulrhman Alrabiah  2 , Arnaud Martel  2   3
Affiliations

Dacryocystitis: Is Dacryocystorhinostomy Always the Solution?

Alexis Mathieu et al. J Clin Med. .

Abstract

Background/Objectives: The aim of the study was to compare dacryocystectomy (DCT) versus dacryocystorhinostomy (DCR) in patients with dacryocystitis in terms of tearing complaints. Methods: We conducted a retrospective and comparative study on 19 patients. The main outcome measure was defined as an improvement by 1 point of the Munk score postoperatively. Results: A total of 19 patients were included with 10 in the DCR group and 9 in the DCT group. The primary endpoint was reached in 7 (70%) and in 6 (67%) patients in the DCR and DCT groups, respectively (p > 0.999). All DCR procedures were performed under general anesthesia (GA), while almost all DCT procedures were performed under local anesthesia (LA) (p < 0.001). There was a higher need for hospitalization in the DCR group (p < 0.001). Conclusions: Our preliminary results indicate that DCR is not always the solution in the case of dacryocystitis. DCT is a viable surgical procedure, especially in elderly patients without any tearing complaint and with underlying dry eye disease.

Keywords: dacryocystectomy; dacryocystitis; dacryocystorhinostomy; dry eye; epiphora.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Schematic drawing demonstrating the surgical principle of the DCR (A) and the DCT (B).
Figure 2
Figure 2
Clinical presentation of acute dacryocycystitis (A) and chronic dacryocystitis (B).
Figure 3
Figure 3
Decision tree of AD or CD treatment based on the preoperative examination.
See this image and copyright information in PMC

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