DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181872

Endoscopic dacryocystorhinostomy with silicon stent: our experience

Neeraj Suri, Bhavya B. M.

Abstract


Background: Dacryocystorhinostomy is the current surgical modality of treatment preferred for patients with nasolacrimal duct obstruction. Both external and endonasal endoscopic approaches have been in practice with their own merits and demerits. Since the invention of endoscopes, endoscopic DCR is preferred for its scarless, minimally invasive technique and many modifications have been done over years like placement of silicon stents to reduce recurrence.

Methods: In our study we evaluated 70 patients with epiphora with obstruction in nasolacrimal duct, Fresh cases and revision cases who had undergone either external and/ endoscopic DCR without stent were included. All patients underwent endoscopic dacryocystorhinostomy (DCR) with silicon stent placement. Patients were followed postoperatively for a period of 6 months to 3 years.  

Results: The results were compared with that of external DCR and endoscopic DCR without stent. In our study we found that, endoscopic DCR with silicon stent had less chances of recurrence and synechiae formation. Results at 3 years follow up have been good with 95.7% patients relieved of symptoms completely.

Conclusions: Endoscopic DCR is a cost effective and a safe alternative for External DCR in patients with nasolacrimal duct obstruction. We found that endoscopic DCR with stenting had several advantages over more conventional external approach.


Keywords


Endoscopic dacryocystorhinostomy, External DCR, Nasolacrimal duct obstruction, Silicon stenting

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References


Priyokumar O, Niteshore MS, Nicola CL, Babu AP. Endonasal DCR without flap and stent (a new technique): our experience in RIMS, Manipur. IOSR J Dent Med Sci. 2014;13(4):50-4.

Mc Donogh M, Meiring JH. Endoscopic Transnasal Dacryocystorhinostomy. J Laryngol Otol. 1989;103:585-7.

Wormald PJ. Powered Endoscopic Dacryo-cystorhinostomy. Laryngoscope. 2002;112(1):69-72.

Tsirbas A, Wormald PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Br J Opthalmol. 2003;87:43-7.

Chougule SS, Suligavi SS, Hiremath CS, Doddamani SS. Endoscopic dacryocystorhinostomy: our experience. Clin Rhinol Int J. 2010;3(3):131–3.

Ben Simon GJ, Joseph J, Lee S, Schwarcz RM, McCann JD, Goldberg RA, et al. External versus endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction in a tertiary referral centre. Ophthalmology. 2005;112:1463–8.

Ramakrishnan VR, Hink EM, Durairaj VD, Kingdom TT. Outcome after endoscopic dacryocystorhinostomy without mucosal flap preservation. Am J Rhinol. 2007;21(6):753–7.

Mann BS, Wormald PJ. Endoscopic assessment of the dacryocystorhinostomy ostium after endoscopic surgery. Laryngoscope. 2006;116:1172–4.

Tan Neil C, Rajapaksa Suresh P, Gaynor James, Nair Salil B. Mechanical endonasal dacryocystorhinostomy—a reproducible technique. Rhinology. 2009;47:310–5.

Weidenbecher M, Hasemeenn W, Buhr W. Endoscopic endonasal dacryocystorhinostomy: results in 56 patients. Ann Otol Rhinol Laryngol. 1994;103:363–7.

Hartikainen J, Gernman R, Puukka P, Seppa H. Prospective randomised comparison of external dacryocystorhinostomy. Ophthalmology. 1998;105:1106–13.




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