Merits of Kerrisons punch over powered drill in endonasal DCR

Authors

  • Shahnaz Sheikh Department of ENT, Dr. Ulhas Patil Medical College, Jalgaon, Maharashtra, India
  • Vikrant Vilas Vaze Department of ENT, Dr. Ulhas Patil Medical College, Jalgaon, Maharashtra, India
  • Anushree Bajaj Department of ENT, Dr. Ulhas Patil Medical College, Jalgaon, Maharashtra, India
  • Bhalachandra . Department of ENT, Dr. Ulhas Patil Medical College, Jalgaon, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20190766

Keywords:

Kerrison, Drill, DCR, Endocopic dacryocystorhinostomy

Abstract

Background: DCR is an operation used to treat nasolacrimal duct obstruction. Various types of DCR are conventional, endonasal/endoscopic DCR and endolaser DCR. Several modalities like Kerrison punch and powered drill are used in endoscopic DCR to improve success rate, reduce complications and shorten operative time. Aim of the study were, to compare the advantages of non powered Kerrison  punch over powered drill regarding time in endoscopic DCR and to compare the advantages of non powered Kerrison punch over powered drill regarding complication rate in endoscopic DCR

Methods: The study was carried out at ENT department of Dr. Ulhas Patil Medical College and hospital Jalgaon from March 2017 to July 2018. Total of 61 patients were included in the study (35 Kerrison punch and 33 drill).  

Results: A total of 68 endoscopic DCRs. Procedure success rate among Kerrison punch group was 88.00% vs 91% in drill group. The complications for both groups were statistically not significant(P=0.91).The mean operating time among Kerrison punch group was significantly lower than in drill group 80 vs. 135 min (P=0.0001).

Conclusions: Kerrison punch showed significant reduction in operating time when compared to drill for endoscopic DCR. No statistically significant difference was found between both groups regarding procedures, success rate and complications.

Author Biography

Anushree Bajaj, Department of ENT, Dr. Ulhas Patil Medical College, Jalgaon, Maharashtra, India

Associate professor department of otorhinolaryngology

References

Roper-Hall MJ, editor. Stallards eye surgery.7. London: Butterworth; 1989: 138.

Mostter HP. Toti operation on lacrimal sac. Laryngoscope.1921;31:284.

Caldwell GW. Two new operation for obstruction of vation of canaliculi, and an incidental description of a new laryngeal probe. Ny Med J. 1983;57;581.

Stananberger H. Endoscopic endonasal surgery; concepts in treatment of recurring rhinosinusites, surgical teachnique. Otolaryngeal Head Neck Surg.1986;94(2):147-56.

Kennedy DW. Functional endoscopic sinus surgery teachnique. Arch otolaryngol.1985;111(10);643-9.

Mcdonough M, Meiring JH, Endoscopic transnasal dacrocystorhinostomy. J Laryngol Otol. 1989;103(6):585-7.

Wormald PJ. Poward endoscopic dacryocystostomy. Laryngoscope. 2002;112:69-72.

Clemente D, editor. Grays Anatomy of human body. philadelphia: Lea and Febiger; 1985.

Kassel EE, Schatz CJ. Lacrimal apparatus. In: Sompn, Curtain HD (eds). Head and neck imaging, Vol 3. Chapter 10. St. Louis: Mosby; 1996: 1129-1183.

Bartlett JD, Jaanus SD. Clinical ocular pharmacology. Butterworth-Heine, editor. St. Louis; 2008.

Ben Simon GJ, Joseph J, Lee S, Schwarcz RM, McCann JD, Goldberg RA. External versus endoscopic dacryocystorhinosto, my for acquired nasolacrimal duct obstruction in a tertiary referral centre. Ophthalmology. 2005;112(8):1463-8.

Herzallah I, Alzuraiqi B, Bawazeer N, Marglani O, Alherabi A, Mohamed SK, et al. Endoscopic Dacryocystorhinostomy (DCR): a comparative study between powered and non-powered technique. J Otolaryngol Head Neck Surg. 2015;44:56.

Wormald PJ, Tsirbas AAFPSA, Fraco. Powered endoscopic dacryocystorhinostomy. The lacrimal system. New York: Springer; 2006: 223-235.

Wormald PJ. Powered endonasal dacryo-cystorhinostomy. Laryngoscope. 2002;112:69-71.

Gurler B, San I. Long term follow up outcomes of non-laser intranasal endoscopic dacryo-cystorhinostomy: how suitable and useful are conventional surgical instruments? Eur J opthalmol. 2004:14(6);453-460.

Linberg JV, Anderson RL, Bumsted RM, Barreras R. Study of intranasal ostium external dacryo-cystorhinostomy. Arch Opthalmol. 1982;100(11):1758-62.

Kim SY, Palik JS, Jung SK, Cho WK Yang SW. No thermal tool using methods in endoscopic dacryocystorhinostomy: no cauter, no drill, no illuminator, no more tears. Eur Arch Otorhinolaryngol. 2013:270(10):2677-82.

Welham RA, Wulc AE. Management of unsuccessful lacrimal surgery. Br J opthalmol. 1987;711:52-7.

Cedere F, Denton P, Corona J. Endonasal dacryocystorhinostomy: a modified technique with preservation of the nasal and lacrimal mucosa. Opthalmic Plast Reconstr Surg. 2010:26(3):161-4.

Badilla J. Dolman PJ. Cerebrospinal fluid leaks complicating orbital or oculoplastic surgery. Arch Opthalmol. 2007;125(12):1631.

Chang DJ. The No Drill technique of anterior clinoidectomy. A cranial base approach to the paraclinoid and parasellar region. Neurosurgery. 2009;64(3):96-106.

Razavi ME, Noorollahian M, Eslampoor A. Non-endoscopic mechanical endonasal dacryocyst-orhinostmy. J Opthalmic vision Res. 2011;6(30):219.

Horn IS, Tittmann M, Fischer M, Otto M, Dietz A, Mozet C. Endonasal nasolacrimal duct surgery: a comparative surgery of two techniques. EUR Arch Otorhinolaryngol. 2014:271(7):1923-31.

Downloads

Published

2019-02-23

Issue

Section

Original Research Articles