{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:02:47Z","timestamp":1781143367922,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate anatomical and structural parameters of the lacrimal sac and nasolacrimal duct system measured through dacryocystography with computed tomography (Dacryo\u2010CT) in relation to restenosis after endoscopic dacryocystorhinostomy (DCR) in a cohort of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients undergoing endoscopic DCR with preoperative Dacryo\u2010CT imaging. Parameters analyzed included the dimensions of the lacrimal sac (vertical and horizontal axes), the thickness of the bone anterior to the lacrimal sac, the thickness of the sac walls, the ratio of nasolacrimal duct length to the extent of contrast medium descent, and the ratio of sac width to wall thickness. Restenosis was defined clinically and confirmed endoscopically within 18\u2009months postoperatively. Multivariate logistic regression was performed to assess the association between Dacryo\u2010CT parameters and restenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 100 patients, restenosis occurred in 28 (28%). Restenosis was significantly associated with a reduced vertical axis of the lacrimal sac (mean, 7.8 vs. 10.2\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and increased sac wall thickness (mean, 1.5 vs. 1.2\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). A higher ratio of sac width to wall thickness correlated with a lower restenosis rate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). The thickness of the anterior bone and the nasolacrimal duct length\/contrast descent ratio showed no significant correlation with restenosis risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preoperative Dacryo\u2010CT\u2010derived parameters, particularly lacrimal sac dimensions and wall thickness, may predict restenosis risk after endoscopic DCR. These findings highlight the importance of detailed anatomical evaluation to optimize surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70409","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T10:27:41Z","timestamp":1770200861000},"page":"2893-2899","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Dacryo\u2010\n                    <scp>CT<\/scp>\n                    Parameters as Predictors of Restenosis After Endoscopic\n                    <scp>DCR<\/scp>"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2157-839X","authenticated-orcid":false,"given":"Sante","family":"De Santis","sequence":"first","affiliation":[{"name":"ENT Department Cosenza, SS. Annunziata Hospital  Cosenza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5955-2753","authenticated-orcid":false,"given":"Stefania","family":"Galassi","sequence":"additional","affiliation":[{"name":"Interventional Radiology Cosenza, SS. Annunziata Hospital  Cosenza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5226-2278","authenticated-orcid":false,"given":"Jacopo","family":"Cambi","sequence":"additional","affiliation":[{"name":"ENT Department Grosseto, Misericordia Hospital  Grosseto Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"623","article-title":"Endoscopic Dacryocystorhinostomy With and Without Bicanalicular Silicone Tube in Patients With a Small Lacrimal Sac: A Comparative Study","volume":"62","author":"Yu B.","year":"2024","journal-title":"Rhinology"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-023-06089-y"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2018.00031"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002432"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2019.07.009"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08956-8"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-023-04311-1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12754"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0301-4738.158082"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13839"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199812000-00018"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2017.31.4425"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2005.01.012"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199012000-00020"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11596-025-00090-8"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.02.019"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aanat.2019.01.013"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/112067210501500501"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.890098"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08797-5"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.01.024"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e318070d237"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.4193\/Rhino09.136"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.87.1.43"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13217"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2005.01.012"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2011.648809"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70409","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70409","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T01:30:20Z","timestamp":1781141420000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/lary.70409"],"URL":"https:\/\/doi.org\/10.1002\/lary.70409","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]},"assertion":[{"value":"2025-11-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}