Clinical assessment and follow up of post-operative outcomes in endonasal dacryocystorhinostomy: our experience


  • Mayur H. Ingale Department of ENT, Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
  • Vinod V. Shinde Department of ENT, Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
  • Ashutosh S. Kumar Department of ENT, Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India
  • Harsh R. Singh Department of ENT, Dr. D. Y. Patil Medical College, Pimpri, Pune, Maharashtra, India



Endonasal dacryocystorhinostomy, Nasolacrimal duct obstruction, Postoperative outcome


Background: Endonasal dacryocystorhinostomy (DCR) was the gold standard for the treatment of nasolacrimal duct obstruction. The objective of the study was to assess the postoperative outcomes of endoscopic DCR.

Methods: This prospective study was conducted in Department of Otorhinolaryngology, Dr. D. Y. Patil Medical College and Hospital Pimpri, Pune from July 2011 to September 2013. A total of 50 patients with complaints of continuous lacrimation were included in the study. All the patients underwent endoscopic DCR and they were observed for postoperative complications and outcome.  

Results: Most of the patients were in 31-40 years age group with the mean age of 33.18 years. Female dominance was observed in the study (M:F- 1:4). Postoperative complications such as epistaxis were observed in 2 cases (4.0%), nasal synechiae in 3 cases (6.0%) and postoperative crusting in 15 cases (30.0%). In 45 (90%) patients the outcome was successful at the end of 6 months and in case of 5 (10.0%) patients it was unsuccessful.

Conclusions: The findings of the study concluded that endoscopic DCR was a simple, safe and invasive procedure as it has direct approach to the sac, produces excellent results without any external scar.


Toti A. Nuovo metodo conservatore di cura radicale delle suppurazioni croniche del sacco lacrimale. Clin Mod Firenze. 1904;10:385-9.

Manola M, Moscillo L, Mastella A, Ferrillo B, Battiloro G, Lacerenza D. Endonasal endoscopic dacryocystorhinostomy(DCR): our experience. Periodic of otolaryngology, cervico-facial pathology, audiology and speech therapy. 2016;2.

Kong YT, Kim TI, Kong BW. A report of 131 cases of endoscopic laser lacrimal surgery. Ophthalmology. 1994;101(11):1793–800.

Duggal P, Mahindroo NK, Chauhan A. Primary endoscopic dacryocystorhinostomy as treatment for acute dacryocystitis with abscess formation. Am J Otolaryngol. 2008;29(3):177–9.

Tripathi A, Lesser TH, O'Donnell NP, White S. Local anaesthetic endonasal endoscopic laser dacryocystorhinostomy: analysis of patients' acceptability and various factors affecting the success of this procedure. Eye (Lond). 2002;16(2):146–9.

David S, Raju R, Job A, Richard J. A comparative study of external and endoscopic endonasal dacryocystorhinostomy: A preliminary report. Indian J Otolaryngol Head Neck Surg. 2000;52(1):32-7.

Hartikainen J, Anitila J, Matti V et al. Prospective randomized comparison of endonasal endoscopic Dacryocysorhinostomy and external Dacryocystorhinostomy. Laryngoscope. 1998;108:1861-6.

Weidenbecher MF, Hosemann W, Buhr W. Endoscopic endonasal dacryocystorhinostomy: results in 56 patients Ann Otol Rhino Laryngol. 1994;103:363-7.

Cokkeser Y, Evereklioglu C, Er. Comparative external versus endoscopic dacryocystorhinostomy: results in 115 patients (130 eyes). Otolaryngol Head Neck Surg. 2000;123(4):488-91.

Onerci M, Orhan M, Ogretmenoğlu O, Irkeç M. Long term results and reasons for failure of intranasal endoscopic dacryocystorhinostomy. Acta Otolaryngol. 2000;120:319-322.






Original Research Articles