{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:15Z","timestamp":1740126855917,"version":"3.37.3"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background In the present study, we aimed to evaluate the surgical outcomes of the fusiform anastomosis technique in external dacryocystorhinostomy (ex-DCR) that we designed in the\n          form of a physiological tube, which sufficiently covered the bone ostium with the mucosa.<\/jats:p><jats:p>\n          Material and Methods This was a retrospective observational study that included 145 eyes of 131 patients who underwent ex-DCR due to nasolacrimal duct obstruction. The patients were\n          divided into two groups. Group 1 included 73 eyes of 65 patients who underwent fusiform anastomosis, and group 2 included 72 eyes of 66 patients who underwent conventional anterior and\n          posterior flap anastomosis. The open nasolacrimal passage with lacrimal irrigation and the absence of reflux were accepted as anatomical success, and the absence of epiphora symptoms was\n          accepted as functional success. The groups were compared in terms of anatomical success, functional success, and granulation tissue formation.<\/jats:p><jats:p>\n          Results Anatomical success was observed in 73 eyes (100%) in group 1 and 66 eyes (91.6%) in group 2 (p\u2009=\u20090.01). Functional success was observed in 72 of 73 eyes (98.6%) in group 1\n          and 65 of 72 eyes (90.2%) in group 2 (p\u2009=\u20090.02). Nasal endoscopic examination performed in 32 eyes in group 1 and 28\u00a0eyes in group 2 revealed that granulation tissue was observed in 7 of 28\n          eyes (25%) in group 2, while there were no eyes with granulation tissue in group 1 (p\u2009=\u20090.01).<\/jats:p><jats:p>\n          Conclusion The fusiform anastomosis technique in ex-DCR provided excellent anatomical success and extremely good functional success.<\/jats:p>","DOI":"10.1055\/a-1713-3714","type":"journal-article","created":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T00:19:22Z","timestamp":1645229962000},"page":"1269-1276","source":"Crossref","is-referenced-by-count":1,"title":["Fusiform Anastomosis Technique with a Single Longitudinal Incision in the Lacrimal Sac in External Dacryocystorhinostomy"],"prefix":"10.1055","volume":"240","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7980-7311","authenticated-orcid":false,"given":"Fikret","family":"Ucar","sequence":"additional","affiliation":[{"name":"Ophthalmology, Private Konyagoz Hospital, Konya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zafer","family":"Tezel","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Medova Hospital, Konya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,2,18]]},"reference":[{"key":"ref1","first-page":"133","volume-title":"Primary acquired nasolacrimal duct obstruction (PANDO) and secondary acquired lacrimal duct obstructions (SALDO)","author":"S Kamal","year":"2015"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"383","DOI":"10.3109\/01676830.2012.711884","article-title":"Anastomosis of both posterior and anterior flaps or only anterior flaps in 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Surg"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/01676830.2021.1877732","article-title":"The effectiveness of the dacryocystorhinostomy operation with physiodispenser in nasolacrimal duct obstruction","author":"F Ucar","year":"2021","journal-title":"Orbit"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.2147\/OPTH.S55508","article-title":"Meta-analysis of the effect of posterior mucosal flap anastomosis in primary external dacryocystorhinostomy","volume":"7","author":"A A Bukhari","year":"2013","journal-title":"Clin Ophthalmol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1136\/bjophthalmol-2014-306570","article-title":"Eight-flap anastomosis in external dacryocystorhinostomy","volume":"99","author":"Y Takahashi","year":"2015","journal-title":"Br J Ophthalmol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1076\/orbi.22.1.7.14011","article-title":"A randomized study comparing DCR with 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Nakamura","year":"2002"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/S0002-9394(14)71524-7","article-title":"The prognostic value of preoperative dacryocystography in endoscopic intranasal dacryocystorhinostomy","volume":"113","author":"G E Mannor","year":"1992","journal-title":"Am J Ophthalmol"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1097\/SCS.0000000000002320","article-title":"The Modified Technique of External Dacryocystorhinostomy in the Management of Complicated Nasolacrimal Duct Obstruction","volume":"27","author":"C Caglar","year":"2016","journal-title":"J Craniofac Surg"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/S0161-6420(02)01452-5","article-title":"Comparison of external dacryocystorhinostomy with nonlaser endonasal dacryocystorhinostomy","volume":"110","author":"P J Dolman","year":"2003","journal-title":"Ophthalmology"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1038\/sj.eye.6700470","article-title":"A consideration of the time taken to do dacryo-cystorhinostomy (DCR) surgery","volume":"17","author":"R Malhotra","year":"2003","journal-title":"Eye (Lond)"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1713-3714.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T23:39:20Z","timestamp":1700091560000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1713-3714"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,18]]},"references-count":27,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,11,15]]},"published-print":{"date-parts":[[2023,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1713-3714","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"type":"print","value":"0023-2165"},{"type":"electronic","value":"1439-3999"}],"subject":[],"published":{"date-parts":[[2022,2,18]]}}}