Endoscopic dacryocystorhinostomy following radioactive iodine thyroid ablation
Academic Article
Overview
MeSH Major
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Dacryocystorhinostomy
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Iodine Radioisotopes
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Lacrimal Duct Obstruction
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Nasolacrimal Duct
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Radiation Injuries
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Thyroid Neoplasms
abstract
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© 2017 Taylor & FrancisPurpose: To evaluate the efficacy of endoscopic dacryocystorhinostomy (eDCR) for nasolacrimal duct obstruction (NLDO) in patients exposed to radioactive iodine (RAI) for treatment of thyroid carcinoma. Methods: Retrospective chart review of 7 eDCR procedures performed on 6 patients, aged 18 or older, with prior RAI treatment, who underwent eDCR between January 1, 2008 and December 31, 2013 for treatment of epiphora due to NLDO. Results: Average time to tube removal was 159 days, and average follow-up was 341 days. One patient noted complete epiphora relief at the time of their final visit. Partial symptom relief was noted by 3 patients, and recurrent epiphora was noted by 2 patients. Conclusions: In complex patients with RAI-associated NLDO, eDCR may be a reasonable option for relief of epiphora. Appropriate counseling, including the risks of incomplete symptom relief and need for additional surgery, should be discussed pre-operatively with these patients.
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Digital Object Identifier (DOI)
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10.1080/01676830.2017.1279653
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