Air Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFeijó E. D.
dc.contributor.authorCAIXETA, J. Alves
dc.contributor.authorMATAYOSHI, S.
dc.date.accessioned2022-09-20T18:49:10Z
dc.date.available2022-09-20T18:49:10Z
dc.date.issued2021
dc.description.abstractPURPOSE: To compare the accuracy and positive predictive values of the air bubble test (ABT) and endoscopic Jones I test for assessment of anatomical and functional success after diode laser transcanalicular dacryocystorhinostomy (T-DCR). METHODS: This cross-sectional study included 60 eyes of 56 patients who underwent T-DCR by a single surgical team from January 2016 to December 2018. All the 56 patients (60 eyes) underwent lacrimal syringing, endoscopic Jones I test, and ABT. Anatomical success was considered as a free passage of fluid with no reflux on the irrigation test. Functional success was defined as the resolution or improvement of epiphora (Munk score of 0 or 1). The results of irrigation test, endoscopic Jones I test, and ABT were used to calculate the accuracy and positive predictive values (PPVs) of ABT and endoscopic Jones I test for assessment of anatomical and functional success (Munk score of 0 or 1) after T-DCR. A value of p < 0.05 was considered statistically significant. All statistical evaluations were performed using SPSS software. RESULTS: There were 60 T-DCR procedures in 56 patients (82.1% women; 46 patients) with a mean age of 56.4 years (standard deviation: 15.7; range from 29 to 92). The mean follow up was 8.1 months. Overall anatomical and functional success rates were 83.3% (50/60) and 73.3% (44/60), respectively. The PPV of endoscopic Jones I test in anatomical success and functional success was 100% and 88%, respectively. The accuracy of this test in anatomical and functional success was 100% and 81.25%, respectively. The PPV of ABT in anatomical success and functional success was 100% and 90.4%, respectively. The accuracy of this test in anatomical and functional success was 92% and 80.65%, respectively. CONCLUSIONS: In conclusion, both endoscopic Jones I test and ABT showed PPV of 100% to detect anatomical success after T-DCR; the endoscopic Jones I test and ABT had 88% and 90.4% of PPV on evaluation of functional success, respectively. Both tests showed good accuracy in the assessment of anatomical and functional success after T-DCR. These outcomes may indicate that ABT could substitute Jones I test on postoperative DCR assessment. Copyright © 2021 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.eng
dc.description.indexMEDLINEeng
dc.identifier.citationOPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, v.37, n.3, p.S54-S57, 2021
dc.identifier.doi10.1097/IOP.0000000000001802
dc.identifier.issn1537-2677
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/49027
dc.language.isoeng
dc.publisherNLM (MEDLINE)eng
dc.relation.ispartofOphthalmic Plastic and Reconstructive Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright NLM (MEDLINE)eng
dc.subject.othercross-sectional studyeng
dc.subject.otherdacryocystorhinostomyeng
dc.subject.otherdiode lasereng
dc.subject.otherdrug therapyeng
dc.subject.otherendoscopyeng
dc.subject.otherfemaleeng
dc.subject.otherhumaneng
dc.subject.otherlacrimal ducteng
dc.subject.otherlacrimal gland diseaseeng
dc.subject.othermaleeng
dc.subject.othermiddle agedeng
dc.subject.otherretrospective studyeng
dc.subject.othertreatment outcomeeng
dc.subject.othercross-sectional studieseng
dc.subject.otherdacryocystorhinostomyeng
dc.subject.otherendoscopyeng
dc.subject.otherfemaleeng
dc.subject.otherhumanseng
dc.subject.otherlacrimal apparatus diseaseseng
dc.subject.otherlasers, semiconductoreng
dc.subject.othermaleeng
dc.subject.othermiddle agedeng
dc.subject.othernasolacrimal ducteng
dc.subject.otherretrospective studieseng
dc.subject.othertreatment outcomeeng
dc.titleAir Bubble Test Versus Endoscopic Jones I Test in Assessment of Anatomical and Functional Success After Diode Laser Transcanalicular Dacryocystorhinostomyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalCAIXETA, J. Alves:Department of Otorhinolaryngology, Federal University of GoiásGoiás, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcEDUARDO DAMOUS FONTENELE FEIJO
hcfmusp.contributor.author-fmusphcSUZANA MATAYOSHI
hcfmusp.description.beginpageS54
hcfmusp.description.endpageS57
hcfmusp.description.issue3
hcfmusp.description.volume37
hcfmusp.origemSCOPUS
hcfmusp.origem.pubmed33009326
hcfmusp.origem.scopus2-s2.0-85107085415
hcfmusp.origem.wosWOS:001050282200012
hcfmusp.scopus.lastupdate2024-05-10
relation.isAuthorOfPublication12ef8ae4-b59f-4326-85cc-9317a7c407a9
relation.isAuthorOfPublication16141fd2-4f9c-40ca-9395-b62599ad13ce
relation.isAuthorOfPublication.latestForDiscovery12ef8ae4-b59f-4326-85cc-9317a7c407a9
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