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Endonasal Dacryocystorhinostomy and Evolution of the Stoma Size

Completed
Conditions
Endonasal Dacryocystorhinostomy
Registration Number
NCT04054791
Lead Sponsor
Centre Hospitalier Régional Metz-Thionville
Brief Summary

Dacryocystorhinostomy (DCR) is a procedure of choice for nasolacrimal duct obstruction. Endonasal procedures for DCR were described as early as 1893 by Caldwell. However, external DCR was practiced more commonly because of better visualization of anatomic features. The miniaturization of surgical instruments and close partnership between ophthalmologist and otorhinolaryngologist had led to a renewal of endonasal approach.

The main objective of the study is to show the evolution of stoma size after endonasal DCR and validate the direct measurement of mucous orifice. It will also allow determining if the stoma evolution size may be a predictive factor for operational effectiveness.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
18
Inclusion Criteria
  • Patient with chronic epiphora or chronic dacryocystitis
Exclusion Criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Evolution of the stoma sizeMonth 12

Measurement of the stoma size by endonasal photography

Secondary Outcome Measures
NameTimeMethod
Mucous orifices sizeMonth 2

Measurement of the osteotomy orifices size from photography

Ratio of patients for whom the operation is a successMonth 12

A success corresponds to the complete disappearance of epiphora symptomatology, on the contrary, a failure equals to the persistence of tearing or a recurrence of dacryocystitis

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