Evidence map›Paper›PMID 33981427›Full record

ArticleAnnals of medicine and surgery (2012)2021

The predictive value of nasolacrimal sac biopsy in endoscopic dacryocystorhinostomy.

Ibrahim Eldsoky, Wael Fawzy Ismaiel, Abdulkarim Hasan, Mohamed Hussein Abdelazim, Ahmed Abd Alrahman Ibrahim, Mahmoud Elsaid Alsobky, Ahmed Rabie Mohammed

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ibrahim EldsokyENT Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Wael Fawzy IsmaielENT Department, Faculty of Medicine, Al-Azhar University, Damietta Branch, Egypt.
Abdulkarim HasanPathology Department, Faculty of Medicine, Al-Azhar University, Cairo, 11884, Egypt.
Mohamed Hussein AbdelazimENT Department, Faculty of Medicine, Al-Azhar University, Damietta Branch, Egypt.
Ahmed Abd Alrahman IbrahimENT Department, Faculty of Medicine, Al-Azhar University, Damietta Branch, Egypt.
Mahmoud Elsaid AlsobkyENT Department, Faculty of Medicine, Al-Azhar University, Damietta Branch, Egypt.
Ahmed Rabie MohammedOphthalmology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Al-Azhar University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring dacryocystorhinostomy (DCR), the lacrimal sac wall biopsy is not routinely performed in our hospital, but it is recommended if there is a suspicion of underlying disease other than preoperatively or intraoperatively chronic inflammation.

objectiveMost of patients with epiphora have different causes of nasolacrimal duct obstruction (NLDO). This study aims to examine how important routine lacrimal sac biopsy is during endoscopic DCR surgery. PATIENTS &

methodsThe study included 50 patients with chronic unilateral epiphora. All patients underwent endoscopic DCR with NLD biopsy. Histopathologic analysis was performed for each specimen.

resultsThe findings of NLD biopsy showed chronic inflammation in 33 cases (66%), chronic dacryocystitis in 9 cases (18%), dacryolith with dacryocystitis in one case, granuloma in 4 cases (8%), rhinoscleroma in 2 cases (4%), and one case had a neoplasm. Histopathologic findings were inflammatory cellular infiltrates in 56%, 30% and 14% in mild, moderate and severe chronic inflammatory state (CIS) score, respectively. Fibrosis in 18%, 20% and 62% in mild, moderate and severe CIS score, respectively. Capillary proliferation in 64%, 32% and 4% in mild, moderate and severe CIS score, respectively. Chronic inflammatory signs in 64%, 32% and 4% in mild, moderate and severe CIS score, respectively.

conclusionAlthough neoplasm and granuloma are rare cause of lacrimal sac or duct obstruction requiring DCR, they were detected through nasolacrimal assessment and routine intraoperative lacrimal sac biopsy.

Indexed as

Chronic dacryocystitsEndoscopic DCREpiphoraHistopathologyNasolacrimal sac

Identifiers

PMID33981427
PMCPMC8085898
OpenAlexW3153094352

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.