Comparative Evaluation and Outcome Analysis of External DCR with Two Different Flap Techniques-A Prospective Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Aim :To Evaluate And Compare The Surgical Outcome In H (Double) And U (Single) Shaped Flap Techniques In External Dacryocystorhinostomy In Terms Of Lacrimal Patency And Mean Operative Time Taken .Study Design -Prospective Randomized Comparative Clinical Study .Material And Method - 96 Patients Of Primary Nasolacrimal duct Block (NLD) Were Selected . 47underwent The Conventional Dacryocystorhinostomy (DCR) By 'H 'Shaped Flap And 49 By 'U'shaped Flap With Suspension To The Orbicularis .Success Rate Was Evaluated By Lacrimal Patency To Irrigation And Surgical Time Calculated From Skin Incision To Skin Suturing . Statistical Analysis Was Done By Chi-Square Test, T-Test And Fisher's Exact Test. Results-Success Rate In Groups A And B Was 93.62% And 95.91% Respectively. Surgical Time Difference Between The Groups Was Statistically Significant With T =7.2031, P= 0.01(<0.05) While Difference In Complication Rate Was Not Significant (X2 Test=0.733 P=0.391).Conclusion -External Dacryocystorhinostomy With H Flap Has No Addaded Advantage Over The U Flap Which Is Much Easier And Faster With Comparable Success Rate.
Authors and Affiliations
Dr Rashmi kumar, Dr Bhawesh Chandra Saha, Dr. Bibhuti Prasanna Sinha, Dr Nilesh Mohan, Dr Jayshree Mandal
Keywords
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- EP ID EP370541
- DOI 10.9790/0853-1704053035.
- Views 134
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