Morphological and functional state of the nasal cavity after surgical interventions in the vertical section of the lacrimal ducts


Objectives – to compare the condition of the nasal cavity after a dacryocystorhinostomy of external and endonasal access.

Material and methods. Comparative assessment of the results of the study of 96 patients with chronic dacryocystitis was done. The patients were  divided into 2 groups: group 1 included persons who underwent the videoendoscopic endonasal dacryocystorhinostomy; group 2 – patients with external dacryocystorhinostomy. For all the participants, there were registered the complaints and anamnesis, the data of video-endoscopy of the nasal cavity, anterior active rhinomanometry, transport and olfactory functions.  The information on the state of the nasal cavity after surgery in the vertical section of the lacrimal ducts was also obtained. 

Results. In both groups we revealed the changes in the mucous membrane, in the anatomical structures of the nasal cavity, in the mobility of the ciliated epithelium, respiratory functions and olfaction.  When comparing the results in both groups, the statistically significant differences were found in the questionnaire data – a complaint of lacrimation, and the data on the mucociliary clearance disorders (p<0.05). 

Conclusion. According to the questionnaire data, in group 2, after external dacryocystorhinostomy, lacrimation was more often observed - in 63.63% of patients.  An increase in the time of mucus advancement up to 35.0 minutes (normal to 15.0 minutes) in group 2 is most likely due to the more common thickening of the lower nasal concha, if compared to patients in group 1. 

Conflict of Interest: nothing to disclose.

Список литературы

1. Piskynov GZ, Piskynov SZ. Clinical rhinology. М., 2017. (In Russ.). ISBN 978-5-8948-1991-4

2. Lopatin AS. Rhinitis: manual for doctors M., GEOTAR-Media, 2010. (In Russ.). ISBN 978-5-904090-30-2

3. Polev GA, Dayhes NA. Multi-angle endoscopes appliance in endoscopic sinus surgery. Russ otorhinolar. 2013;2(63):76–80. (In Russ.).

4Isaev EV, Svistushkin VM, Egorov VI, et al. Radiofrequency surgery-aided endoscopic endonasal dacryocystorhinostomy. Russ otorhinolar. 2016;4(83):14–21. (In Russ.). doi: 10.18692/1810-4800-2016-4-14-21

5. Tulebaev RK, Baimenov AZh. Comparative characteristics of different methods of dacryocystorhinostomy. Russ otorhinolar. 2015;2(75):73–77. (In Russ.).

6. Preechawai P. Results of nonendoscopic endonasal dacryocystorhinostomy. Clin Ophtalmol. 2012;6(1):1297–1301. doi: 10.2147/OPTH.S33030

7. Smirnova AS, Poritsky AV, Voronov AV. A complex treatment chronic dacryocystitis and sinonasal comorbidity. Russrhinology. 2016;24(1):34–37. (In Russ.). doi: 10.17116/rosrino201624134-37

8. Mixeeva OF, Shkolnik SF, Pashtaev NP, et al. The state of dacryological care at the present stage. Tomsk State Medical Journal. 2017;22(6):1492–1502. (In Russ.). doi: 10.20310/1810-0198-2017-22-6-1492-1502

9. Su PY. Comparison of endoscopic and external dacryocystorhinostomy for treatment of primary acquired nasolacrimal duct obstruction. Taiwan J Ophthalmol. 2018;8(1):19–23. doi: 10.4103 / tjo.tjo_10_18

10. Jain S, Ganguly A, Singh S, et al. Primary nonendoscopic endonasal versus delayed external dacryocystorhinostomy in acute dacryocystitis. Ophthal Plast Reconstr Surg. 2017;33(4):285–288. doi: 10.1097 / IOP.0000000000000759

11. Serdar O, Pinar AO. Endoscopic vs external dacryocystorhinostomy-comparison from the patients' aspect. Int J Ophthalmol. 2014;7(4):689–696. doi: 10.3980/j.issn.2222-3959.2014.04.20

12. Magomedov MM, Zeynalova DF, Andriyashkin DV, et al. The state of the nasal mucosa and the paranasal sinuses in the late postoperative period following radical and minimally invasive surgery. Vestnik otorhinolar. 2016;81(5):54–56. (In Russ.). doi: 10.17116/otorino201681554-56

13. Piskunov GZ, Mezenceva OYu. Functional and morphological changes in the mucous membrane during deformation of the nasal septum. Vestnik otorhinolar2011;1:13–15. (In Russ.).

14. Savvateeva DM, Chuchueva ND, Kochetkov PA, et al. The state of olfactory function in patients with a curved nasal septum before and after surgical treatment. Vestnik otorhinolar. 2011;5:22–25. (In Russ.).

15. Kozlov VS, Shemjakin SO. Diseases of the operated nose and paranasal sinuses. Kremljovsk. Medic. Clinich. Vestnik. 2013;1:41–47. (In Russ.).

Для цитирования

Fileva LV, Ovchinnikov AY. Morphological and functional state of the nasal cavity after surgical interventions in the vertical section of the lacrimal ducts. Science & Innovations in Medicine. 2020;5(1):28-31. doi: 10.35693/2500-1388-2020-5-1-28-31


Send an online application form to the publication