About this trial
This study aims to evaluate the safety and effectiveness of an absorbable lacrimal sac drug-eluting stent placed at the osteotomy site during endoscopic endonasal dacryocystorhinostomy (E-DCR) in patients with recurrent chronic dacryocystitis. The stent is composed of absorbable polymer mesh coated with mometasone furoate to reduce postoperative inflammation and adhesion, maintain ostium patency, and improve surgical outcomes. A total of 40 patients will be randomized 1:1 to receive either the absorbable stent or conventional packing with routine postoperative intranasal budesonide therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed chronic dacryocystitis
Disqualifiers
Nasal cavity structural disease: severe septal deviation, tumor, severe sinusitis
Trial design
Parallel
Treatments tested in this trial
Absorbable Lacrimal Sac Drug-Eluting Stent
DeviceDuring E-DCR, the stent is implanted at the osteotomy site to provide mechanical separation and local release of mometasone furoate. The polymer scaffold is fully absorbable. Available models: LN1509 (15×9 mm), LN1209 (12×9 mm), LN0907 (9×7 mm).
Conventional Ostium Packing with Budesonide Nasal Spray
DrugAfter standard E-DCR, the ostium is packed with conventional materials. Postoperatively, participants use budesonide nasal spray (2 sprays/day) for 3 months. All other postoperative care is the same as in the experimental group.
Treatment groups
Trial outcomes
Primary outcomes
Total Clinical Effectiveness Rate at 3 Months
Based on symptom resolution and lacrimal irrigation: Cured: complete symptom resolution and patent irrigation Effective: mild tearing, patent or pressurized irrigation Ineffective: persistent tearing or obstruction Total effectiveness = (cured + effective cases) / total × 100%.
Lacrimal Ostium Formation Rate at 3 Months
Assessment: endoscopic confirmation of epithelialized, patent ostium.
Secondary outcomes
Operation Time
Duration of surgery measured from incision to closure, reported in minutes.
Intraoperative Blood Loss
Volume of blood loss during surgery, reported in milliliters (mL).
Length of Hospital Stay
Number of days from surgery to hospital discharge.
Recurrence Rate
Definition: recurrence of tearing with obstruction confirmed by irrigation.
Sponsors and contacts
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