Пациент со слезотечением на приеме у врача-оториноларинголога
Пациент со слезотечением на приеме у врача-оториноларинголога
Верещагина О.Е., Карпищенко С.А., Карпов А.А. Пациент со слезотечением на приеме у врача-оториноларинголога. Consilium Medicum. 2021; 23 (3): 240–243. DOI: 10.26442/20751753.2021.3.200703
________________________________________________
Vereshchagina OE, Karpishchenko SA, Karpov AA. A patient with lacrimation at an otorhinolaryngologist consultation. Consilium Medicum. 2021; 23 (3): 240–243. DOI: 10.26442/20751753.2021.3.200703
Пациент со слезотечением на приеме у врача-оториноларинголога
Верещагина О.Е., Карпищенко С.А., Карпов А.А. Пациент со слезотечением на приеме у врача-оториноларинголога. Consilium Medicum. 2021; 23 (3): 240–243. DOI: 10.26442/20751753.2021.3.200703
________________________________________________
Vereshchagina OE, Karpishchenko SA, Karpov AA. A patient with lacrimation at an otorhinolaryngologist consultation. Consilium Medicum. 2021; 23 (3): 240–243. DOI: 10.26442/20751753.2021.3.200703
Слезотечение является одной из наиболее часто встречающихся жалоб в офтальмологической практике. Большинство пациентов первично приходят на прием к врачу-офтальмологу, но в настоящее время оториноларинголог также играет ключевую роль как в определении этиологии заболевания, так и в выборе тактики ведения таких больных. Этот обзор основан на поиске отечественной и зарубежной литературы, в которой рассматривались вопросы диагностики и лечения данной группы пациентов. Точная оценка причины возникновения эпифоры является залогом постановки правильного диагноза и выбора оптимального метода восстановления нормального слезоотведения, среди которых особое место занимает эндоназальная дакриоцисториностомия. Мультидисциплинарный подход офтальмолога и оториноларинголога обеспечивает конечный успешный результат лечения непроходимости слезоотводящих путей.
Lacrimation is one of the most common symptoms in ophthalmic practice. Most patients first visit an ophthalmologist, but the otorhinolaryngologist also plays an important role in determining the etiology of the disease and in the choice of management for such patients. This review presents a literature search that addresses the diagnosis and treatment of patients with epiphora. Identifying the cause of lacrimation is the main factor in making the correct diagnosis and choosing the optimal treatment method. Endonasal dacryocystorhinostomy is of particular importance. The multidisciplinary approach of the ophthalmologist and otorhinolaryngologist allows for the success of the epiphora treatment.
1. Blackmore KJ, Ainsworth G, Robson AK. Epiphora: an evidence based approach to the 12 minute consultation. Clin Otolaryngol. 2010; 35: 210–4. DOI: 10.1111/j.1749-4486.2010.02138.x
2. Mainville N, Jordan DR. Etiology of tearing: a retrospective analysis of referrals to a tertiary care oculoplastics practice. Ophthalmic Plast Reconstr Surg. 2011; 27 (3): 155–7. DOI: 10.1097/IOP.0b013e3181ef728d
3. Gudkar A, Mukherjee B, Krishnakumar S. Solitary Fibrous Tumor of the lacrimal sac. Indian J Ophthalmol. 2019; 67 (12): 2043–4. DOI: 10.4103/ijo.IJO_875_19
4. Chavadaki JA, Raghu K, Patel VI. A Retrospective Study of Establishment of Association Between Deviated Nasal Septum, Sinusitis and Chronic Dacryocystitis. Indian J Otolaryngol Head Neck Surg. 2020; 72 (1): 70–3. DOI: 10.1007/s12070-019-01745-4
5. Sfiniadaki E, Tsiara I, Theodossiadis P, Chatziralli I. Ocular Manifestations of Granulomatosis with Polyangiitis: A Review of the Literature. Ophthalmol Ther. 2019; 8 (2): 227–34. DOI: 10.1007/s40123-019-0176-8
6. Cannady SB, Batra PS, Koening C, et al. Sinonasal wegener granulomatosis: a single institution experience with 120 cases. Laryngoscope. 2009; 119 (4): 757–61. DOI: 10.1002/lary.20161
7. Ali MJ, Gupta H, Honavar SG, Naik MN. Acquired nasolacrimal duct obstructions secondary to naso-orbito-ethmoidal fractures: patterns and outcomes. Ophthalmic Plast Reconstr Surg. 2012; 28 (4): 242–5. DOI: 10.1097/IOP.0b013e31823f3266
8. Карпищенко С.А., Белдовская Н.Ю., Александров А.Н., и др. Опыт применения навигационной системы в хирургическом лечении рецидива травматического дакриоцистита (клиническое наблюдение). Офтальмологические ведомости. 2019; 12 (1):83–8 [Karpishchenko SA, Beldovskaia NIu, Aleksandrov AN, et al. Experience in navigation system use in surgical treatment of the traumatic dacryocystitis recurrence (clinical case). Ophthalmology Journal. 2019; 12 (1): 83–8 (in Russian)]. DOI: 10.17816/OV12183-88
9. Tehrani MJ, Khameneh EA, Veisi A. Lacrimal Drainage System Problems After Rhinoplasty. Aesthetic Plast Surg. 2021; 45 (1): 255–60. DOI: 10.1007/s00266-020-01929-2
10. Lee S, Lew H. Ophthalmologic Clinical Features of Facial Nerve Palsy Patients. Korean J Ophthalmol. 2019; 33 (1): 1–7. DOI: 10.3341/kjo.2018.0010
11. Yamagishi T, Ochi N, Yamane H, et al. Epiphora in lung cancer patients receiving docetaxel: a case series. BMC Res Notes. 2014; 7: 322. DOI: 10.1186/1756-0500-7-322
12. Карпищенко С.А., Белдовская Н.Ю., Баранская С.В., Карпов А.А. Результаты эндоскопической эндоназальной дакриоцисториностомии в лечении вторичной приобретенной обструкции носослезного канала, возникшей после терапии радиоактивным йодом. Практическая медицина. 2018; 16 (5): 23–7 [Karpishchenko SA, Beldovskaia NIu, Baranskaia SV, Karpov AA. Outcomes of endoscopic endonasal dacryocystorhinostomy in the treatment of secondary acquired nasolacrimal duct obstruction after radioiodine therapy. Practical Medicine. 2018; 16 (5): 23–7 (in Russian)]. DOI: 10.32000/2072-1757-2018-16-5-23-27
13. Savage MW, Sobel RK, Hoffman HT, et al. Salivary gland dysfunction and nasolacrimal duct obstruction: stenotic changes following I-131 therapy. Ophthalmic Plast Reconstr Surg. 2015; 31 (3): e50–52. DOI: 10.1097/IOP.0000000000000066
14. Sweeney AR, Davis GE, Chang SE, Jian-Amadi A. Endoscopic dacryocystorhinostomy following head and neck radiation therapy. Orbit. 2017; 36 (1): 30–4. DOI: 10.1080/01676830.2017.1279647
15. Карпищенко С.А., Верещагина О.Е., Фаталиева А.Ф., Карпов А.А. Коррекция перегородки носа при эндоскопической эндоназальной дакриоцисториностомии. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019; 25 (4): 15–20 [Karpishchenko SA, Vereshchagina OE, Fatatlieva AF, Karpov AA. Septoplasty in endoscopic endonasal dacryocystorhinostomy. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019; 25 (4): 15–20 (in Russian)].
DOI: 10.33848/foliorl23103825-2019-25-4-15-20
16. Detorakis ET, Zissimopoulos A, Ioannakis K, Kozobolis VP. Lacrimal Outflow Mechanisms and the Role of Scintigraphy: Current Trends. World J Nucl Med. 2014; 13 (1): 16–21. DOI: 10.4103/1450-1147.138569
17. Школьник С.Ф., Васильева А.Ю. Дакриосцинтиграфия как метод подтверждения блокирующей функции лакримальных обтураторов. Практическая медицина. 2018; 16 (5): 37–9 [Shkol'nik SF, Vasil'eva AIu. Dacryoscintigraphy as a method of confirming the blocking function of lacrimal obturators. Practical Medicine. 2018; 16 (5): 37–9 (in Russian)]. DOI: 10.32000/2072-1757-2018-16-5-37-39
18. Annamalai S, Kumar NA, Madkour MB, et al. An association between acquired epiphora and the signs and symptoms of chronic rhinosinusitis: a prospective case-control study. Am J Rhinol. 2003; 17 (2): 111–4.
19. Атькова Е.Л., Ярцев В.Д., Краховецкий Н.Н. Варианты коррекции стеноза слезной точки. Современные технологии в офтальмологии. 2018; 3: 142–4 [At'kova EL, Iartsev VD, Krakhovetskii NN. Varianty korrektsii stenoza sleznoi tochki. Sovremennye tekhnologii v oftal'mologii. 2018; 3: 142–4 (in Russian)].
20. Eisenbach N, Karni O, Sela E, et al. Conjunctivodacryocystorhinostomy (CDCR) success rates and complications in endoscopic vs non-endoscopic approaches: a systematic review. Int Forum Allergy Rhinol. 2021; 11 (2): 174–94. DOI: 10.1002/alr.22668
21. Ярцев В.Д., Атькова Е.Л. Баллонная дакриопластика – эффективная альтернатива при лечении дакриостенозов. Современные технологии в офтальмологии. 2015; 3: 196–8 [Iartsev VD, At'kova EL. Ballonnaia dakrioplastika – effektivnaia al'ternativa pri lechenii dakriostenozov. Sovremennye tekhnologii v oftal'mologii. 2015; 3: 196–8 (in Russian)].
22. Jawaheer L, MacEwen CJ, Anijeet D. Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction. Cochrane Database Syst Rev. 2017; 2 (2): CD007097.
DOI: 10.1002/14651858.CD007097.pub3
23. Duwal S, Saiju R. Outcomes of external dacryocystorhinostomy and endoscopic endonasal dacryocystorhinostomy in the management of nasolacrimal duct obstruction. Nepal J Ophthalmol. 2015; 7 (1): 39–46. DOI: 10.3126/nepjoph.v7i1.13165
24. Uzun F, Karaca EE, Konuk O. Surgical management of traumatic nasolacrimal duct obstruction. Eur J Ophthalmol. 2016; 26 (6): 517–9. DOI: 10.5301/ejo.5000754
25. Ekin MA, Ugurlu SK, Aytogan H, Atik SS. Failure in Revision Dacryocystorhinostomy: A Study of Surgical Technique and Etiology. J Craniofac Surg. 2020; 31 (1): 193–6. DOI: 10.1097/SCS.0000000000005829
26. Васильева А.Ю., Красножен В.Н., Паштаев Н.П., Школьник С.Ф. Интубационные методы лечения дакриостенозов на современном этапе. Современные технологии в офтальмологии. 2015; 3: 25–8 [Vasil'eva AIu, Krasnozhen VN, Pashtaev NP, Shkol'nik SF. Intubatsionnye metody lecheniia dakriostenozov na sovremennom etape. Sovremennye tekhnologii v oftal'mologii. 2015; 3: 25–8 (in Russian)].
27. Unlu HH, Gunhan K, Baser EF, et al. Long-term results in endoscopic dacryocsytorhinostomy: is intubation really required? Otoloringol Head Neck Surg. 2009; 140: 589–95.
28. Monga J, Sharma Y, Mishra G, Patel M. Resolving Perplexity: Comparison of Endoscopic Dacryocystorhinostomy With and Without Stent. Indian J Otolaryngol Head Neck Surg. 2019; 71 (Suppl. 3): 1843–8. DOI: 10.1007/s12070-017-1241-z
29. Yim M, Wormald PJ, Doucet M, et al. Adjunctive techniques to dacryocystorhinostomy: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2020. DOI: 10.1002/alr.22699
30. Wearne MJ, Pitts J, Frank J, Rose GE. Comparison of dacryocystography and lacrimal scintigraphy in the diagnosis of functional nasolacrimal duct obstruction. Br J Ophthalmol. 1999; 83 (9): 1032–5. DOI: 10.1136/bjo.83.9.1032
________________________________________________
1. Blackmore KJ, Ainsworth G, Robson AK. Epiphora: an evidence based approach to the 12 minute consultation. Clin Otolaryngol. 2010; 35: 210–4. DOI: 10.1111/j.1749-4486.2010.02138.x
2. Mainville N, Jordan DR. Etiology of tearing: a retrospective analysis of referrals to a tertiary care oculoplastics practice. Ophthalmic Plast Reconstr Surg. 2011; 27 (3): 155–7. DOI: 10.1097/IOP.0b013e3181ef728d
3. Gudkar A, Mukherjee B, Krishnakumar S. Solitary Fibrous Tumor of the lacrimal sac. Indian J Ophthalmol. 2019; 67 (12): 2043–4. DOI: 10.4103/ijo.IJO_875_19
4. Chavadaki JA, Raghu K, Patel VI. A Retrospective Study of Establishment of Association Between Deviated Nasal Septum, Sinusitis and Chronic Dacryocystitis. Indian J Otolaryngol Head Neck Surg. 2020; 72 (1): 70–3. DOI: 10.1007/s12070-019-01745-4
5. Sfiniadaki E, Tsiara I, Theodossiadis P, Chatziralli I. Ocular Manifestations of Granulomatosis with Polyangiitis: A Review of the Literature. Ophthalmol Ther. 2019; 8 (2): 227–34. DOI: 10.1007/s40123-019-0176-8
6. Cannady SB, Batra PS, Koening C, et al. Sinonasal wegener granulomatosis: a single institution experience with 120 cases. Laryngoscope. 2009; 119 (4): 757–61. DOI: 10.1002/lary.20161
7. Ali MJ, Gupta H, Honavar SG, Naik MN. Acquired nasolacrimal duct obstructions secondary to naso-orbito-ethmoidal fractures: patterns and outcomes. Ophthalmic Plast Reconstr Surg. 2012; 28 (4): 242–5. DOI: 10.1097/IOP.0b013e31823f3266
8. Karpishchenko SA, Beldovskaia NIu, Aleksandrov AN, et al. Experience in navigation system use in surgical treatment of the traumatic dacryocystitis recurrence (clinical case). Ophthalmology Journal. 2019; 12 (1): 83–8 (in Russian) DOI: 10.17816/OV12183-88
9. Tehrani MJ, Khameneh EA, Veisi A. Lacrimal Drainage System Problems After Rhinoplasty. Aesthetic Plast Surg. 2021; 45 (1): 255–60. DOI: 10.1007/s00266-020-01929-2
10. Lee S, Lew H. Ophthalmologic Clinical Features of Facial Nerve Palsy Patients. Korean J Ophthalmol. 2019; 33 (1): 1–7. DOI: 10.3341/kjo.2018.0010
11. Yamagishi T, Ochi N, Yamane H, et al. Epiphora in lung cancer patients receiving docetaxel: a case series. BMC Res Notes. 2014; 7: 322. DOI: 10.1186/1756-0500-7-322
12. Karpishchenko SA, Beldovskaia NIu, Baranskaia SV, Karpov AA. Outcomes of endoscopic endonasal dacryocystorhinostomy in the treatment of secondary acquired nasolacrimal duct obstruction after radioiodine therapy. Practical Medicine. 2018; 16 (5): 23–7 (in Russian) DOI: 10.32000/2072-1757-2018-16-5-23-27
13. Savage MW, Sobel RK, Hoffman HT, et al. Salivary gland dysfunction and nasolacrimal duct obstruction: stenotic changes following I-131 therapy. Ophthalmic Plast Reconstr Surg. 2015; 31 (3): e50–52. DOI: 10.1097/IOP.0000000000000066
14. Sweeney AR, Davis GE, Chang SE, Jian-Amadi A. Endoscopic dacryocystorhinostomy following head and neck radiation therapy. Orbit. 2017; 36 (1): 30–4. DOI: 10.1080/01676830.2017.1279647
15. Karpishchenko SA, Vereshchagina OE, Fatatlieva AF, Karpov AA. Septoplasty in endoscopic endonasal dacryocystorhinostomy. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. 2019; 25 (4): 15–20 (in Russian).
DOI: 10.33848/foliorl23103825-2019-25-4-15-20
16. Detorakis ET, Zissimopoulos A, Ioannakis K, Kozobolis VP. Lacrimal Outflow Mechanisms and the Role of Scintigraphy: Current Trends. World J Nucl Med. 2014; 13 (1): 16–21. DOI: 10.4103/1450-1147.138569
17. Shkol'nik SF, Vasil'eva AIu. Dacryoscintigraphy as a method of confirming the blocking function of lacrimal obturators. Practical Medicine. 2018; 16 (5): 37–9 (in Russian) DOI: 10.32000/2072-1757-2018-16-5-37-39
18. Annamalai S, Kumar NA, Madkour MB, et al. An association between acquired epiphora and the signs and symptoms of chronic rhinosinusitis: a prospective case-control study. Am J Rhinol. 2003; 17 (2): 111–4.
19. At'kova EL, Iartsev VD, Krakhovetskii NN. Varianty korrektsii stenoza sleznoi tochki. Sovremennye tekhnologii v oftal'mologii. 2018; 3: 142–4 (in Russian)
20. Eisenbach N, Karni O, Sela E, et al. Conjunctivodacryocystorhinostomy (CDCR) success rates and complications in endoscopic vs non-endoscopic approaches: a systematic review. Int Forum Allergy Rhinol. 2021; 11 (2): 174–94. DOI: 10.1002/alr.22668
21. Iartsev VD, At'kova EL. Ballonnaia dakrioplastika – effektivnaia al'ternativa pri lechenii dakriostenozov. Sovremennye tekhnologii v oftal'mologii. 2015; 3: 196–8 (in Russian)
22. Jawaheer L, MacEwen CJ, Anijeet D. Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction. Cochrane Database Syst Rev. 2017; 2 (2): CD007097. DOI: 10.1002/14651858.CD007097.pub3
23. Duwal S, Saiju R. Outcomes of external dacryocystorhinostomy and endoscopic endonasal dacryocystorhinostomy in the management of nasolacrimal duct obstruction. Nepal J Ophthalmol. 2015; 7 (1): 39–46. DOI: 10.3126/nepjoph.v7i1.13165
24. Uzun F, Karaca EE, Konuk O. Surgical management of traumatic nasolacrimal duct obstruction. Eur J Ophthalmol. 2016; 26 (6): 517–9. DOI: 10.5301/ejo.5000754
25. Ekin MA, Ugurlu SK, Aytogan H, Atik SS. Failure in Revision Dacryocystorhinostomy: A Study of Surgical Technique and Etiology. J Craniofac Surg. 2020; 31 (1): 193–6. DOI: 10.1097/SCS.0000000000005829
26. Vasil'eva AIu, Krasnozhen VN, Pashtaev NP, Shkol'nik SF. Intubatsionnye metody lecheniia dakriostenozov na sovremennom etape. Sovremennye tekhnologii v oftal'mologii. 2015; 3: 25–8 (in Russian)
27. Unlu HH, Gunhan K, Baser EF, et al. Long-term results in endoscopic dacryocsytorhinostomy: is intubation really required? Otoloringol Head Neck Surg. 2009; 140: 589–95.
28. Monga J, Sharma Y, Mishra G, Patel M. Resolving Perplexity: Comparison of Endoscopic Dacryocystorhinostomy With and Without Stent. Indian J Otolaryngol Head Neck Surg. 2019; 71 (Suppl. 3): 1843–8. DOI: 10.1007/s12070-017-1241-z
29. Yim M, Wormald PJ, Doucet M, et al. Adjunctive techniques to dacryocystorhinostomy: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2020. DOI: 10.1002/alr.22699
30. Wearne MJ, Pitts J, Frank J, Rose GE. Comparison of dacryocystography and lacrimal scintigraphy in the diagnosis of functional nasolacrimal duct obstruction. Br J Ophthalmol. 1999; 83 (9): 1032–5. DOI: 10.1136/bjo.83.9.1032
1 ФГБУ «Санкт-Петербургский научно-исследовательский институт уха, горла, носа и речи» Минздрава России, Санкт-Петербург, Россия;
2 ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России, Санкт-Петербург, Россия
*karpischenkos@mail.ru
________________________________________________
Sergey A. Karpishchenko*1,2, Olga E. Vereshchagina2, Artemiy A. Karpov2
1 Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, Russia;
2 Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia
*karpischenkos@mail.ru