Endoscopic Dacryocystorhinostomy: Our Experience

Abstract

Purpose To determine the outcome and safety of endoscopic dacryocystorhinostomy (ENDO-DCR) with the use of silicon stents in nasolacrimal duct obstruction (NLDO). Materials and methods This study was done in the Department of Otorhinolaryngology and Head and Neck Surgery, Navodaya Medical College, Raichur, from January 2013 to June 2015, with a total of 82 cases (10 cases with bilateral disease) who underwent a standardized procedure, with an endonasal approach to the lacrimal sac, surgical removal of nasal mucosa, lacrimal bone, and a fragment of the frontal process of the maxilla. The medial wall of the lacrimal sac was removed completely and canalicular silicone intubation tube was placed for 6 weeks postoperatively. Main outcome measures were resolution of epiphora, absence of discharge, and patency of the ostium confirmed by irrigation and endoscopic evaluation of neo-ostium at 6 weeks. Results The ENDO-DCR procedure with adjunctive canalicular silicone intubation tube was successful in 78 (95%) cases. No significant complications were encountered during or after the operative period. Conclusion Endoscopic dacryocystorhinostomy with canalicular silicon intubation for shorter duration (6 weeks) is a safe and successful procedure for the treatment of NLDO in adults as well as in children, with a success rate of 95%. How to cite this article Chavadaki JA, Manvikar AK, Shrikrishna BH. Endoscopic Dacryocystorhinostomy: Our Experience. Clin Rhinol An Int J 2017;10(2):49-52.

Endoscopic Endonasal Dacryocystorhiniostomy (EEDCR) (Libyan Experience)

“…Most of the cases in our study are female patients which may be due to long term use of cosmetics that causes alteration in lacrimal pathway 17 . Success in DCR surgery mainly depends on creating awide stoma and preservation of mucosa aroundlacrimal window to reduce chances of postoperative scarring and stenosis 9,18 . Success rates for endoscopic dacryocystorhinostomy varies from to 95% 4,8. Jyothi et al,reported a success rate of 95% using silicone stent for six weeks only, 18 where as Jin HR, et al reported a lower success rate of 83% (19) .Manor and Millman suggested that lacrimal sac anatomy is an important prognostic factor for successful EDCR(20) as fibrosed sac increases risk of recurrence.…”