Early Endonasal Dacryocystorhinostomy for Acute Dacryocystitis: A Systematic Review and Meta-Analysis.

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  • Author(s): Li J;Li J; Wang J; Wang J; Sun C; Sun C
  • Source:
    American journal of rhinology & allergy [Am J Rhinol Allergy] 2024 May; Vol. 38 (3), pp. 185-191. Date of Electronic Publication: 2024 Mar 05.
  • Publication Type:
    Meta-Analysis; Systematic Review; Journal Article; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: SAGE Publications Country of Publication: United States NLM ID: 101490775 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1945-8932 (Electronic) Linking ISSN: 19458932 NLM ISO Abbreviation: Am J Rhinol Allergy Subsets: MEDLINE
    • Publication Information:
      Publication: Thousand Oaks, CA : SAGE Publications
      Original Publication: Providence, R.I. : OceanSide Publications
    • Subject Terms:
      Dacryocystorhinostomy* ; Nasolacrimal Duct* ; Dacryocystitis*/surgery ; Lacrimal Apparatus*; Humans ; Nose ; Treatment Outcome ; Endoscopy
    • Abstract:
      Objective: The aim of this meta-analysis is to compare the outcomes of early endonasal dacryocystorhinostomy (DCR) with delayed DCR in the treatment of acute dacryocystitis (AD).
      Methods: A comprehensive electronic search of PubMed, Embase, Web of Science, and the Cochrane Library databases was conducted up to November 11, 2023. Data synthesis was performed using Review Manager 5.4, and forest plots were generated for each outcome measure. Potential publication bias was assessed using funnel plots and Egger's test.
      Results: Six studies involving 288 patients were included in the meta-analysis. Overall, the success rate of early endonasal DCR was comparable to that in the delayed DCR group (odds ratio [OR] = 1.52, 95% confidence interval [CI]: 0.81-2.85, P  = .19). Furthermore, in comparison with the delayed DCR group, early endonasal DCR significantly reduced the time for medial canthus swelling resolution (mean differences [MD] = -4.92, 95% CI: -5.46 to 4-.37, P  < .00001) and complete resolution of symptoms (MD = -17.70, 95% CI: -23.88 to -11.52, P  < .00001).
      Conclusion: Primary early endonasal DCR seems to be a promising and favorable approach for managing AD with comparable efficacy and faster relief of symptoms compared to conventional delayed DCR.
      Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
    • Contributed Indexing:
      Keywords: acute dacryocystitis; conventional dacryocystorhinostomy; endonasal dacryocystorhinostomy; endoscopic dacryocystorhinostomy; endoscopy; lacrimal abscess; lacrimal surgery; pain; success rate; timing of dacryocystorhinostomy
    • Publication Date:
      Date Created: 20240306 Date Completed: 20240409 Latest Revision: 20240409
    • Publication Date:
      20240409
    • Accession Number:
      10.1177/19458924241237009
    • Accession Number:
      38444220