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Proximal Drainage plus Massage of Lacrimal Sac Improves the Symptoms of Congenital Dacryocystoceles

Purpose To examine the effect of proximal drainage plus lacrimal sac massage in patients with congenital dacryocystoceles. Methods A retrospective review of 77 patients was performed. Traditional massage was performed in the traditional treatment group (35 patients) first. Proximal lacrimal sac drainage plus massage of the lacrimal sac using a Bangerter lacrimal cannula (defined as modified massage) was performed in the modified group (42 patients). Probing was undertaken if the treatments failed in both groups. Success rates of decompression of lacrimal sac and recovery rate were observed. The χ2 test was used to compare the groups. Results Success rates of decompression of lacrimal sac were 100% in the modified group and 31% in the traditional group. In the modified group, 34 patients with 37 dacryocystoceles (80%) recovered with the modified treatment within 14 days. However, in the traditional group, only 11 patients with 12 dacryocystoceles (30%) had resolution after conservative treatment. The recovery rate of the modified massage in the modified group was higher than that of massage alone in the traditional group (p<0.001). As to the individuals receiving probing, 8 patients with 9 dacryocystoceles (100%) in the modified group were successful, while 18 patients with 21 dacryocystoceles (78%) in the traditional group had a satisfying effect. Conclusions Proximal drainage plus massage has the advantage of high efficiency and safety for the treatment of congenital dacryocystoceles.