<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>The standard procedure for dacryocystorhinostomy (DCR) employs routine stenting during the operation. According to different sources, the overall stent indwelling time ranges from six weeks to six months or even longer. Placement of a stent promotes rhinostoma formation and prevents stenosis. Since the introduction of this technique, many studies have been conducted to assess the results of DCR with and without the use of stents, the stent material, as well as the time period after which the stents were removed. This review discusses the relevant literature on stenting in endonasal dacryocystorhinostomy, which was available in PubMed over the last ten years. Equally good endonasal dacryocystorhinostomy (enDCR) results have been obtained for patients with and without a stent. However, the use of stents is sometimes associated with multiple additional complications: formation of granulations at an earlier postoperative period, infection of the lacrimal drainage system, and canalicular laceration. The use of Mitomycin C, topical steroids, antibiotics, and silver nitrate has a different impact on reducing the occurrence of these complications. Further studies are needed to develop more accurate indications for the use of stents during enDCR, as well as the timing of their removal, and the use of adjunctive topical medication.</p>
</abstract>

The standard procedure for dacryocystorhinostomy (DCR) employs routine stenting during the operation. According to different sources, the overall stent indwelling time ranges from six weeks to six months or even longer. Placement of a stent promotes rhinostoma formation and prevents stenosis. Since the introduction of this technique, many studies have been conducted to assess the results of DCR with and without the use of stents, the stent material, as well as the time period after which the stents were removed. This review discusses the relevant literature on stenting in endonasal dacryocystorhinostomy, which was available in PubMed over the last ten years. Equally good endonasal dacryocystorhinostomy (enDCR) results have been obtained for patients with and without a stent. However, the use of stents is sometimes associated with multiple additional complications: formation of granulations at an earlier postoperative period, infection of the lacrimal drainage system, and canalicular laceration. The use of Mitomycin C, topical steroids, antibiotics, and silver nitrate has a different impact on reducing the occurrence of these complications. Further studies are needed to develop more accurate indications for the use of stents during enDCR, as well as the timing of their removal, and the use of adjunctive topical medication.

Role of stenting in endonasal dacryocystorhinostomy: multiple challenges of the current approach

Pauls Stradiņš Clinical University Hospital

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

The standard procedure for dacryocystorhinostomy (DCR) employs routine stenting during the operation. According to different sources, the overall stent...

Role of stenting in endonasal dacryocystorhinostomy: multiple challenges of the current approach

Publié en ligne: 10 déc. 2022

Pages: 578 - 584

DOI: https://doi.org/10.2478/prolas-2022-0090

Mots clés
timing of stent removal, DCR postoperative management, nasolacrimal duct obstruction, granulation, silver nitrate, stenting guidelines

© 2022 Ekaterina Kondratishko et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Role of stenting in endonasal dacryocystorhinostomy: multiple challenges of the current approach

Publié en ligne: 10 déc. 2022

Pages: 578 - 584

DOI: https://doi.org/10.2478/prolas-2022-0090

Mots cléstiming of stent removal, DCR postoperative management, nasolacrimal duct obstruction, granulation, silver nitrate, stenting guidelines

© 2022 Ekaterina Kondratishko et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
timing of stent removal, DCR postoperative management, nasolacrimal duct obstruction, granulation, silver nitrate, stenting guidelines