Efficacy of anterior flap technique of dacryocystorhinostomy
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 2
Abstract
Introduction: Dacryocystitis means inflammations of lacrimal sac and duct and occurs in acute or chronic form. The chronic dacryocystitis is more common. External dacryocystorhinostomy (DCR) remains the gold standard surgical treatment for epiphora due to lacrimal passage obstruction beyond common canaliculus for more than hundreds of years. Aims and Objective: To study the efficacy of anterior flap technique of dacryocystorhinostomy used in the management of chronic dacryocystitis. Materials and Method: In the present study total 100 patients of chronic dacryocystitis were selected from those attending the ophthalmic OPD. All patients undergone modified dacryocystorhinostomy with anterior flap technique under local anesthesia. General anesthesia was used wherever required. Details of all the patients were recorded in proforma. The intra operative and post operative complications were also recorded. Patients were discharged on the next day after removal of nasal packing and making sure there was no bleeding. Post-operatively patients were put on topical and oral antibiotics for 1 week Patients were reviewed after 1 week then on monthly basis for 3 months. On each follow up visit history regarding watering, patency by sac syringing was checked. Tube was removed after 3 months, patient was observed every month for 6 months for recurrence of symptoms. Results: Majority of the patients were in the age group of 21 to 40 years. It was also seen that female (79%) were affected more commonly as compared to male. Majority of the cases were of chronic simple dacryocystitis (75) followed by chronic dacryocystitis with mucocele (15). Intra-operative complications found in this study were excessive bleeding in two cases and opening of anterior ethamoidal air cell in 1 case only. Out of the total 75 cases of chronic simple dacryocystitis, canalicular stricture was noted in two cases, infection in one case and unsightly scar in one case. The overall success rate of the procedure was 96% in the present study. Conclusion: Thus we conclude that Dacryocystorhinostomy with the anterior flap method is a simple and safe procedure to perform, with less complication rate and high success rate of 96%. And it can be performed in all types of chronic dacryocystitis cases.
Authors and Affiliations
Vasant G Suvarnkar, Vilas D Wangikar, Sheetal S Solunke
Keywords
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