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Modified approach to powered endoscopic dacryocystorhinostomy

Published online by Cambridge University Press:  14 December 2015

T N Janakiram ,
N Suri  and
S B Sharma
T N Janakiram
Affiliation:
Department of Otolaryngology, Royal Pearl Hospital, Tiruchirapalli, Tamil Nadu
N Suri*
Affiliation:
Department of ENT, Gujarat Medical Education and Research Society (‘GMERS’) Medical College, Gandhinagar, India
S B Sharma
Affiliation:
Department of Otolaryngology, Royal Pearl Hospital, Tiruchirapalli, Tamil Nadu
*
Address for correspondence: Dr Neeraj Suri, A/94, Shantam Tower, Behind Civil Hospital, Meghaninagar Road, Shahibaug, Ahmedabad, Gujarat, India E-mail: [email protected]
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Abstract

Objective:

This paper presents modifications to powered endoscopic dacryocystorhinostomy without stenting for the management of acquired nasolacrimal duct obstruction.

Study design:

A retrospective, non-randomised review.

Method:

A total of 105 patients with epiphora secondary to acquired nasolacrimal duct obstruction were operated on by our modified powered endoscopic dacryocystorhinostomy approach.

Results:

Of 105 patients, 100 (95.2 per cent) have remained asymptomatic. One patient with a narrow ostium had improved symptoms, while four patients continued to experience persistent symptoms (treatment failures).

Conclusion:

The modified powered endoscopic dacryocystorhinostomy approach led to excellent results, without bone exposure and granulations, and with early mucosalisation.

Keywords

Flap, SurgicalDacryocystorhinostomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 3 , March 2016 , pp. 261 - 264
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Hartikainen, J, Antila, J, Varpula, M. Prospective randomized comparison of endonasal endoscopic DCR and external DCR. Laryngoscope 1998;108:1861–6CrossRefGoogle Scholar
2Wormald, PJ, Nilssen, E. Endoscopic DCR: the team approach. Hong Kong J Ophthalmol 1998;1:71–4Google Scholar
3Wormald, PJ. Powered endoscopic dacryocystorhinostomy. Laryngoscope 2002;112:69–72CrossRefGoogle ScholarPubMed
4Tsirbas, A, Wormald, PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flap. Am J Ophthalmol 2003;135:76–83CrossRefGoogle Scholar