Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec;44(6):351-360.
doi: 10.14639/0392-100X-N2916.

A critical update on endoscopic dacryocystorhinostomy

Luca Giovanni Locatello #  1 , Enrico Redolfi De Zan #  2 , Nicole Caiazza  1 , Anna Tarantini  2 , Paolo Lanzetta  2   3   4 , Cesare Miani  1   4
Affiliations

A critical update on endoscopic dacryocystorhinostomy

Luca Giovanni Locatello et al. Acta Otorhinolaryngol Ital. 2024 Dec.

Abstract

Objectives: Endoscopic dacryocystorhinostomy (endo-DCR) is becoming a workhorse in the management of distal lacrimal duct obstruction. It yields success rates comparable to external DCR, with the advantage of no external scars. However, it requires multidisciplinary expertise and many uncertainties in terms of proper indications, technique, and perioperative management still exist.

Methods: Systematic review of the literature in the last 5 years using PubMed and Google Scholar.

Results: A total of 66 articles were included. Many technical modifications and surgical refinements have been proposed, but a formal comparison of the various techniques is hampered by methodological heterogeneity. The use of local anaesthesia and perioperative adjunctive techniques to reduce the risk of restenosis are also gaining popularity even if the level of evidence remains weak.

Conclusions: Endo-DCR offers satisfactory clinical outcomes even though there are many grey areas that need to be addressed in future high-quality studies.

Keywords: DCR; dacryocystorhinostomy; endoscopic dacryocystorhinostomy; lacrimal duct obstruction; rhinology.

PubMed Disclaimer

Conflict of interest statement

All authors declare no conflict of interest.

Figures

Cover figure.
Cover figure.
A case of recurrent acute dacryocystitis: before and 48 hours after endonasal dacryocystorhinostomy.
Figure 1.
Figure 1.
Identification of studies via databases and registers.
See this image and copyright information in PMC

References

    1. Sobel RK, Aakalu VK, Wladis EJ, et al. . A comparison of endonasal dacryocystorhinostomy and external dacryocystorhinostomy: a report by the American Academy of Ophthalmology. Ophthalmology 2019;126:1580-1585. https://doi.org/10.1016/j.ophtha.2019.06.009 10.1016/j.ophtha.2019.06.009 - DOI - PubMed
    1. Van Swol JM, Myers WK, Nguyen SA, et al. . Revision dacryocystorhinostomy: systematic review and meta-analysis. Orbit 2023;42:1-10. https://doi.org/10.1080/01676830.2022.2109178 10.1080/01676830.2022.2109178 - DOI - PubMed
    1. Orsolini MJ, Schellini SA, Souza Meneguim RLF, et al. . Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis. Orbit 2020;39:258-265. https://doi.org/10.1080/01676830.2019.1677726 10.1080/01676830.2019.1677726 - DOI - PubMed
    1. Vinciguerra A, Nonis A, Resti AG, et al. . Influence of surgical techniques on endoscopic dacryocystorhinostomy: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 2021;165:14-22. https://doi.org/10.1177/0194599820972677 10.1177/0194599820972677 - DOI - PubMed
    1. Moher D, Liberati A, Tetzlaff J, et al. . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6:E1000097. https://doi.org/10.1371/journal.pmed.1000097 10.1371/journal.pmed.1000097 - DOI - PMC - PubMed

Publication types

LinkOut - more resources