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Outcomes of dacryocystorhinostomy in patients with head and neck tumors
Author(s) -
Diba Roxana,
Saadati Hossein,
Esmaeli Bita
Publication year - 2005
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20079
Subject(s) - medicine , radiation therapy , nasolacrimal duct obstruction , surgery , esthesioneuroblastoma , chondrosarcoma , hemangiopericytoma , adenoid cystic carcinoma , nasal cavity , carcinoma , radiology
Abstract Background. The purpose of this study was to evaluate the outcomes of dacryocystorhinostomy (DCR) in patients with head and neck tumors. Methods. The clinical records of all 31 patients with head and neck tumors who underwent DCR for nasolacrimal duct blockage at The University of Texas M. D. Anderson Cancer Center between 1999 and 2003 were retrospectively reviewed. Results. The tumor diagnoses were squamous cell carcinoma ( n = 18), chondrosarcoma ( n = 3), sinonasal carcinoma ( n = 2), adenoid cystic carcinoma ( n = 2), sinonasal papilloma ( n = 2), esthesioneuroblastoma ( n = 1); hemangiopericytoma ( n = 1); ameloblastoma ( n = 1), and osteosarcoma ( n = 1). Twenty‐eight patients had a maxillectomy or other sinus surgeries, 10 had radiotherapy, and 14 had chemotherapy and radiotherapy before DCR. All 31 patients (35 eyes) experienced improvement of epiphora after DCR, but five patients (six eyes) had recurrent nasolacrimal duct blockage develop during the study period. Two patients had mild wound infections; none had osteoradionecrosis. Conclusions. DCR alleviates nasolacrimal duct blockage in most patients with head and neck tumors and is not associated with unusual complications in this setting. © 2004 Wiley Periodicals, Inc. Head Neck 27: 72–75, 2005