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. 2020 Apr 7;2020(4):CD012309. doi: 10.1002/14651858.CD012309.pub2

Alañón 2006.

Methods Study design: randomized controlled trial, parallel group
Unit of analysis: participants
Number randomized: 200 total, 150 in the MMC group, 50 in the endonasal and endocanalicular DCR by diode laser (TLA‐ELA DCR) group
Number of arms: 2
Enrollment start year: 2002
Length of follow‐up: 6 months
Sample size calculations: not reported
Losses to follow‐up: not reported
Participants Country: Spain
Age (mean (SD)): 59.51 (NR) in the TLA‐ELA DCR alone group, 62.33 (NR) in the MMC group
Females (n (%)): 162 (88.5%) in total
Inclusion criteria: not reported
Exclusion criteria: not reported
Study group differences: no statistically significant differences in age, sex, laterality, or follow‐up between groups
Interventions Intervention: TLA‐ELA DCR with application of 0.4 mg/mL MMC
Comparison intervention: TLA‐ELA DCR alone
Outcomes Measured outcomes:
  • alterations for excessive scarring

  • complications


Adverse events: excessive scarring of the nasal mucosa in the form of scabs, granulomas and synechia
Identification Author name: Miguel Ángel Alañón Fernández
Institution: Instituto Internacional de Vías Nasolagrimales
Email: miguelaaf@msn.com
Notes Funding source: not reported
Declarations of interest: not reported
Trial registration number: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk How random sequence was generated is not described.
Allocation concealment (selection bias) Unclear risk No details are provided regarding allocation concealment.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Masking of participants or study personnel is not reported.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Masking of outcome assessors is not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Missing data were not reported, unclear whether participants were analyzed in the group to which they were randomized.
Selective reporting (reporting bias) Unclear risk No mention of functional or anatomic success, and no prior registered trial to be used as comparison.
Other bias Unclear risk There was insufficient information to permit a judgement of 'low risk' or 'high risk'.