{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:01Z","timestamp":1787169721884,"version":"build-2736575974"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this study was to compare the efficacy of endonasal dacryocystorhinostomy (EDCR) compared with transcanalicular laser DCR (TL-DCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This retrospective study and systematic review included patients that underwent DCR for nasolacrimal duct obstruction at our tertiary academic care hospital between January 2013 and December 2017. TL-DCR and EDCR were performed on 42 (group 1) and 45 (group 2) patients, respectively. All patients were followed up for a minimum of 4 years after DCR. Success was defined as the complete disappearance of epiphora and the observation of fluid flow without any anatomic obstruction during lacrimal system irrigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      This study included 87 patients who underwent DCR. Fourteen patients (18.7%) were male, and 61 (81.3%) were female. Groups 1 and 2 consisted of 42 and 45 patients who underwent TL-DCR and EDCR, respectively. Success was achieved by 78.5% and 84.4% in groups 1 and 2, respectively. Patients in both groups were followed up for at least 4 years. There was a significant difference in mean surgery time between groups: 33.8 \u00b1 10.5 min vs. 69.9 \u00b1 15.9 min for groups 1 and 2, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>EDCR and TL-DCR without silicone stent have offered a high success rate in the long term. Furthermore, endonasal procedures have less surgery time and leave no scar. We observed that EDCR and TL-DCR are favorable methods in cases of nasolacrimal duct obstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_349_22","type":"journal-article","created":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T08:35:13Z","timestamp":1692347713000},"page":"1069-1074","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Long-Term Outcomes of Transcanalicular Laser Dacryocystorhinostomy Versus Endonasal Dacryocystorhinostomy and a Review of the Literature"],"prefix":"10.4103","volume":"26","author":[{"given":"T","family":"Tokat","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Sakarya University Education and Research Hospital, Sakarya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Tokat","sequence":"additional","affiliation":[{"name":"Department of Ophtalmology, Bozyaka Education and Research Hospital, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Kusbeci","sequence":"additional","affiliation":[{"name":"Department of Ophtalmology, Bozyaka Education and Research Hospital, Izmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,21]]},"reference":[{"key":"R1-20240907","first-page":"385","article-title":"Nuovo metodo conservatore di cura radicale delle suporazioni chroniche del sacco lacrimale","volume":"10","author":"Toti","year":"1904","journal-title":"Clin Mod Firenze"},{"key":"R2-20240907","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1097\/00005537-199812000-00018","article-title":"Prospective randomized comparison of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy","volume":"108","author":"Hartikainen","year":"1998","journal-title":"Laryngoscope"},{"key":"R3-20240907","doi-asserted-by":"crossref","first-page":"81","DOI":"10.21053\/ceo.2018.00031","article-title":"A systematic review of benefit of silicone intubation in endoscopic dacryocystorhinostomy","volume":"11","author":"Kang","year":"2018","journal-title":"Clin Exp Otorhinolaryngol"},{"key":"R4-20240907","doi-asserted-by":"crossref","first-page":"320","DOI":"10.5301\/ejo.5000048","article-title":"Endoscopic dacryocystorhinostomy not using canalicular silicone intubation tube with and without mitomycin C:A comparative study","volume":"22","author":"\u00d6zkiris","year":"2012","journal-title":"Eur J Ophthalmol"},{"key":"R5-20240907","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1001\/archopht.1990.01070100128048","article-title":"Endonasal laser dacryocystorhinostomy. 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