A CLINICAL STUDY OF ENDOSCOPIC ENDONASAL DACRYOCYSTORHINOSTOMY IN CASES OF CHRONIC DACRYOCYSTITIS

Dr. Bindu Kathe, Dr. A. Sesha Prasad

Abstract


AIM: To study the outcome of 50 cases of endonasal DCR surgery.METHODS: This is a prospective study of results of different methods in endoscopic dacryocystorhinostomy and nature of complications. It is conducted at the Department of ENT, Government general hospital, Kurnool. The study group consisted of 50 patients aged between 7 to 60 years. RESULTS: At three months follow-up, there is a symptomatic cure in 45 patients (90%). The success rate was higher (100%) when both Mitomycin-C and DCR Stent was used. With other procedures with stent alone (86%), Mitomycin-C alone (83%), and DCR without Stent (90%) almost similar success rate was seen. The procedure was unsuccessful in 5 cases (10%). Among the complications encountered following Endoscopic DCR, the commonest was postoperative synechiae (20%) Others were anatomical difficulties in 8cases and hemorrhage in 10 cases. CONCLUSION: Endoscopic DCR is simple and safe. It is minimally invasive procedure as it is a direct approach to the sac. Cosmetically it is acceptable as there is no external scar. The advantages of the endoscopic approach are the magnificent view of the lacrimal sac in its entirety,and the preservation of the lacrimal pump, the possible lower intraoperative time and the lower morbidity.


Keywords


Dacryocystorhinostomy(DCR), Syringing,MITOMYCIN-C,Stent

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