{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T02:13:41Z","timestamp":1781662421685,"version":"3.54.5"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>This study aimed to evaluate the effect of nasal packing on the surgical success and postoperative complications of endoscopic dacryocystorhinostomy (EnDCR) without using stents and mucosal flaps.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>The retrospective study comprised of 75 eyes of 65 consecutive patients undergoing EnDCR with the biting and removing technique. The patients were assigned to 2 groups depending on whether the biodegradable synthetic polyurethane foam was used or not (the packing group, 34 eyes; the nonpacking group, 41 eyes). At least 6 months after the EnDCR, the postoperative outcomes including anatomical and functional successes, and the postoperative complications such as synechia, granuloma, and bleeding were compared between the packing and nonpacking groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Synechia was lower in the packing group (23.5% versus 24.4%) but it was not statistically significant (<jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.93). There were also no significant differences in the granuloma and bleeding complications between the 2 groups (respectively, <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.72, <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.08). The success rates of anatomical and functional reached 88% in the packing group compared with 82.9%, and 75.6% in the nonpacking group (respectively, <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.74, <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.76).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The present study findings suggest that both groups have no superiorities over each other in the surgical outcomes after the EnDCR. However, further randomized studies are recommended before the generalization can be made.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/scs.0000000000007386","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T02:10:08Z","timestamp":1612577408000},"page":"2107-2109","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Is Nasal Packing Necessary After Endoscopic Dacryocystorhinostomy Without Stent and Mucosal Flaps Preservation?"],"prefix":"10.1097","volume":"32","author":[{"given":"Deniz","family":"Demir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"R1-20250803","first-page":"385","article-title":"Nuovo Metodo conservatore dicura radicale delle suppurazione croniche del sacco lacrimale (dacricistorhinostomia)","volume":"10","author":"Toti","year":"1904","journal-title":"Clin Moderna (Firenza)"},{"key":"R2-20250803","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1017\/S0022215100109405","article-title":"Endoscopic transnasal dacryocystorhinostomy","volume":"103","author":"McDonogh","year":"1989","journal-title":"J Laryngol Otol"},{"key":"R3-20250803","first-page":"CD007097","article-title":"Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction","volume":"24","author":"Jawaheer","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-20250803","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3109\/01676830.2013.842253","article-title":"Systematic review and meta-analysis on outcomes for endoscopic versus external 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stenting","volume":"120","author":"Callejas","year":"2010","journal-title":"Laryngoscope"},{"key":"R8-20250803","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1038\/eye.2011.44","article-title":"Effects of Merogel coverage on wound healing and ostial patency in endonasal endoscopic dacryocystorhinostomy for primary chronic dacryocystitis","volume":"25","author":"Wu","year":"2011","journal-title":"Eye (Lond)"},{"key":"R9-20250803","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1038\/s41598-019-57019-0","article-title":"Comparative study of stenting and ostium packing in Endoscopic Dacryocystorhinostomy for Primary Acquired Nasolacrimal Duct Obstruction","volume":"10","author":"Chin","year":"2020","journal-title":"Sci Rep"},{"key":"R10-20250803","doi-asserted-by":"crossref","first-page":"2207","DOI":"10.1097\/SCS.0000000000001985","article-title":"Effectiveness of synthetic polyurethane foam as a nasal packing material in endoscopic endonasal dacryocystorhinostomy","volume":"26","author":"Lee","year":"2015","journal-title":"J Craniofac Surg"},{"key":"R11-20250803","first-page":"145561319866822","article-title":"Postoperative bioresorbable chitosan-based dressing for endoscopic middle meatal dacryocystorhinostomy with balloon dilation","volume":"26","author":"Winebrake","year":"2019","journal-title":"Ear Nose Throat J"},{"key":"R12-20250803","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3341\/kjo.2013.27.2.73","article-title":"Effects of nasopore packing on dacryocystorhinostomy","volume":"27","author":"Jang","year":"2013","journal-title":"Korean J Ophthalmol"},{"key":"R13-20250803","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1148\/radiology.177.3.2243969","article-title":"Epiphora: treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus","volume":"177","author":"Munk","year":"1990","journal-title":"Radiology"},{"key":"R14-20250803","doi-asserted-by":"crossref","first-page":"2079","DOI":"10.1007\/s00405-015-3876-2","article-title":"Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study","volume":"273","author":"Longari","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"R15-20250803","doi-asserted-by":"crossref","first-page":"60","DOI":"10.4193\/Rhino13.020","article-title":"Patient comfort following FESS and Nasopore packing, a double blind, prospective, randomized trial","volume":"52","author":"Kastl","year":"2014","journal-title":"Rhinology"},{"key":"R16-20250803","doi-asserted-by":"crossref","first-page":"600","DOI":"10.2500\/ajr.2006.20.2955","article-title":"Silicone tubing after endoscopic dacryocystorhinostomy: is it necessary?","volume":"20","author":"Smirnov","year":"2006","journal-title":"Am J Rhinol"},{"key":"R17-20250803","doi-asserted-by":"crossref","first-page":"332","DOI":"10.2500\/ajra.2012.26.3789","article-title":"Primary endoscopic dacryocystorhinostomy with or without silicone tubing: a prospective randomized study","volume":"26","author":"Al-Qahtani","year":"2012","journal-title":"Am J Rhinol Allergy"}],"container-title":["Journal of Craniofacial 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