Merits of Kerrisons punch over powered drill in endonasal DCR

Sheikh, Shahnaz; Vaze, Vikrant; Bajaj, Anushree; Bhalachandra,

doi:10.18203/issn.2454-5929.ijohns20190766

Cited by 3 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Total of 61 patients were included in the said study published in 2018 (35 Kerrison punch and 33 drill). 13 In our study, out of 50 patients, 31 patients had post-operative nasal packing and rest 19 weren't packed post operatively. Outcomes of both groups were equal in terms of patency of neo-ostium.…”

Section: Exclusion Criteriamentioning

confidence: 69%

A study of clinical profile of patients undergoing endonasal endoscopic dacryocystorhinostomy without stenting in a teaching hospital of Western Gujarat

Sorathiya

Desai

Hirani

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Chronic dacryocystitis is commonly treated with dacryocystorhinostomy (DCR). The aim of the study was to analyzed the clinical profile of patients suffering from distal Nasolacrimal duct (NLD) blockage and outcomes of EnDCR without stenting in patients with chronic dacryocystitis. Methods: This prospective observational study consisted of 50 patients who underwent EnDCR without stenting at ENT department of Gujarat Adani Institute of Medical Sciences during the period of October 2019 to September 2021, after taking IEC consent. All patients with distal NLD blockage were included in study. Pre-operative, intra-operative and post-operative details were recorded as per pre-validated proforma and data was analyzed using Microsoft excel sheets.Results: Watery discharge from eye was most common chief complaint (76%) during presentation followed by watery discharge and swelling over medial end of eye both (20%) and swelling over medial end of one eye (4%). Most common duration of chief complaint was between 3 to 12 months. In our study, out of 50 patients, 31 cases were operated under local anesthesia and 19 were operated under general anesthesia. Out of 50 operated cases, only 3 patients had stenosis of ostium at 3-month follow-up. Overall success rate of endoscopic endonasal DCR without stenting was 94%.Conclusions: The success rate of endonasal dacryocystorhinostomy without stenting is as high as that of external dacryocystorhinostomy and endonasal DCR with stenting without the disadvantages of either one.

show abstract

Section: Exclusion Criteriamentioning

confidence: 69%

A study of clinical profile of patients undergoing endonasal endoscopic dacryocystorhinostomy without stenting in a teaching hospital of Western Gujarat

Sorathiya

Desai

Hirani

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

A Comparative Study of Endoscopic Endonasal Dacryocystorhinostomy Using an Inferiorly Based Flap Versus a Posteriorly Based Flap

Alokkan,

Swathi,

Viswanatha

et al. 2023

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Outcomes of 8 × 8 mm osteotomy in powered external dacryocystorhinostomy

Goel

Ojha

Gaonker

et al. 2023

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: To study the endoscopic ostium characteristics and outcome of 8 × 8 mm osteotomy in external dacryocystorhinostomy (DCR) using the microdrill system. Methods: This prospective interventional pilot study was performed on 40 eyes of 40 patients with primary acquired nasolacrimal duct obstruction (NLDO) from June 2021 to September 2021 in patients undergoing external DCR. An 8 × 8 mm osteotomy was performed using round, cutting burr attached to a microdrill system. Success was defined as patent ostium on lacrimal syringing (anatomical) and a Munk score <3 (functional) at 12 months. Postoperative endoscopic ostium evaluation was done using a modified DCR ostium (DOS) scoring system at 12 months. Results: The mean age of the study participants was 42.41 ± 11.77 years and the male-to-female ratio was 1:4. The mean duration of surgery was 34.15 ± 1.66 minutes and that for osteotomy creation was 2.5 ± 0.69 minutes. The mean intraoperative blood loss was 83.37 ± 11.89 ml. Anatomical and functional success rates were 95% and 85%, respectively. The mean modified DOS score was “excellent” in 34 patients (85%), “good” in 1 patient (2.5%), “fair” in 4 patients (10%), and “poor” in 1 patient (2.5%). Complications included nasal mucosal injury in 10% (4/40) of patients, complete cicatricial closure of ostium in 2.5% (1/40), incomplete cicatricial closure in 10% (4/40), nasal synechiae in 5% (2/40), and canalicular stenosis in 2.5% (1/40). Conclusion: An 8 × 8 mm–sized osteotomy created by powered drill and covered by lacrimal sac–nasal mucosal flap anastomosis in external DCR is an effective technique that has minimal complications and shorter surgical time.

show abstract

Merits of Kerrisons punch over powered drill in endonasal DCR

Cited by 3 publications

References 13 publications

A study of clinical profile of patients undergoing endonasal endoscopic dacryocystorhinostomy without stenting in a teaching hospital of Western Gujarat

A study of clinical profile of patients undergoing endonasal endoscopic dacryocystorhinostomy without stenting in a teaching hospital of Western Gujarat

A Comparative Study of Endoscopic Endonasal Dacryocystorhinostomy Using an Inferiorly Based Flap Versus a Posteriorly Based Flap

Outcomes of 8 × 8 mm osteotomy in powered external dacryocystorhinostomy

Contact Info

Product

Resources

About