Combined endoscopic endonasal and subciliary approach in revision DCR cases

Manjunatharao S. V., Rajshekar M. M.


Background: Study conducted to know surgical outcome of combined endoscopic endonasal and subciliary approach in revision DCR cases and complications associated with the procedure.

Methods: Prospective, single-blinded, randomized, interventional study is carried out in Tertiary level center from August 2009 to April 2016. Totally 18 patients (11 female and 7 male) were involved in the study who has undergone previous DCR (11 external DCR and 7 endoscopic DCR). The results were analyzed at end of the 3rd and 6th month both subjectively and objectively.  

Results: All the 18 patients who underwent combined approach were relived from epiphora. None of the patients developed any complications following surgery.

Conclusions: The combination of endoscopic and external approach gives benefits of the both approaches giving huge advantages in revision cases. It gives excellent visualization of the surgical field, ability to correct internal nasal pathologies, make clear rhinostoma, workprecisely on fibrosed lacrimal sac and nearly no external scar. It provides good team work opportunity between otorhinologist and ophthalmologist.


Revision DCR, Epiphora, Nasolacrimal duct obstruction, Combined endonasal, Subciliary approach

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