Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-29T16:31:21.893Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction

Published online by Cambridge University Press:  13 August 2009

S Agarwal
S Agarwal*
Affiliation:
Department of E.N.T. and Head & Neck Surgery, Sawai Man Singh Medical College and Attached Hospitals, Jaipur, Rajasthan, India
*
Address for correspondence: Dr Sunita Agarwal, 3/1 Heera Bagh Flats, SRS Road, Jaipur 302004, Rajasthan, India. E-mail: drsunitaagarwal@yahoo.co.in
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate the results of endoscopic dacryocystorhinostomy performed to treat acquired nasolacrimal duct obstruction.

Design:

Retrospective analysis of the outcome of endoscopic dacryocystorhinostomy performed in the conventional manner (i.e. without power instruments or laser) to treat acquired nasolacrimal duct obstruction.

Subjects:

Outcomes for 300 patients with acquired nasolacrimal duct obstruction were evaluated. Cases with congenital or traumatic blockages were excluded. All the cases were evaluated for nasolacrimal duct blockage by the syringing and regurgitation test. Surgery was performed under local anaesthesia with sedation. Follow up was conducted by syringing and nasal endoscopy, up to one year. Results were compared with published data for endoscopic and external dacryocystorhinostomy.

Results:

Outcomes were evaluated subjectively using patient symptoms, syringing results and endoscopic appearance. All cases were symptom-free following endoscopic dacryocystorhinostomy. Revision surgery was performed in 18 cases. Stents were placed in 10 patients, of which two developed granulations. Septoplasty was performed in 25 cases to gain access to the lacrimal sac area.

Conclusion:

The results were comparable with published data for endoscopic and external dacryocystorhinostomy.

Keywords

Lacrimal Duct ObstructionDacryocystorhinostomyEndoscopyNasal Cavity
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , pp. 1226 - 1228
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Simmen, D, Jones, N. Manual of Endoscopic Sinus Surgery and its Extended Application Dacryocystorhinostomy. New York, Stuttgart: Thieme, 2005;194–201Google Scholar
2Sinha, VS, Gupta, DG, Prajapati, BP, Mora, YM, Khandelwal, PK, Singh, SNS et al. Endoscopic DCR with conventional instruments results and advantages over external DCR. Indian Journal of Otolaryngology and Head and Neck Surgery 2008;60:207–9CrossRefGoogle Scholar
3Kominek, P, Della Rocca, RC, Rosenbaum, S. Diagnostic. In: Weber, RK, Keerl, R, Schaefer, SD, Della Rocca, RC, eds. Atlas of Lacrimal Surgery, India: Springer, 2007;29–51CrossRefGoogle Scholar
4Nalgirkar, AR, Sulakhe, AA. Comparative evaluation of results of endoscopic DCR and external DCR. Indian Journal of Otolaryngology and Head and Neck Surgery 2005;4(suppl 2):363–6Google Scholar
5Fayet, B, Racy, E, Assouline, M. Complications of standard endonasal dacryocystorhinostomy with unciformectomy. Ophthalmology 2004;111:837–45CrossRefGoogle ScholarPubMed
6Mathew, MR, McGuiness, R, Webb, LA, Murry, SB, Esakowitz, L. Patient satisfaction in our initial experience with endonasal endoscopic non-laser dacryocystorhinostomy. Orbit 2004;23:77–85CrossRefGoogle ScholarPubMed