Efficacy of Endo Nasal DCR in Primary Nasolacrimal Duct Obstruction
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Background & Objectives: Primary acquired nasolacrimal duct obstruction is the commonest cause of chronic dacryocystitis presenting with symptoms like epiphora, discharge, irritation and pain. Untreated cases leads to formation of dacryocele & fistula. External dacryocystorhinostomy (DCR) is the mainstay of treatment for this problem with a reasonable good success rate. But the external scar over the face, disruption of the lacrimal pump mechanism, injury to the medial canthal anatomy are the few pitfalls of the external DCR for which the endonasal DCR has been gaining popularity for last few decades. This study is undertaken to evaluate the efficacy of endonasal DCR in terms of successful outcome, intraoperative and postoperative complications. Method: A prospective study was conducted on 84 patients of nasolacrimal duct obstruction with chronic dacryocystitis. All the patients were subjected to endoscopic endonasal DCR and followup was done for 6 months. Outcome of the surgery was measured by findings of the lacrimal passage irrigation & nasal endoscopy. Result: The successful outcome noticed in 76 (90.4%) cases. Out of the 8 cases (9.6%) of failures 4 cases (4.8%) found to have granulations around the stoma,2 cases(2.4%) had mucosal overgrowth and another 2 cases(2.4%) had restenosis. Except injury to the lamina papyracea and prolapse of orbital fat in few cases (4.7%) no other major intraoperative complications were noticed in this series. Among the disadvantages adjunct procedures like septoplasty and conchoplasty were required in 27.3% & 13.1% of cases respectively. Conclusion: Endoscopic Endonasal DCR is a valid alternative to external DCR. The succsess rate is similar and at the same time it avoids the pitfalls of external DCR. Intra operative complications are less. Learning curve is stiff due to requirement of few adjunct procedures.
Authors and Affiliations
Dr Debabrata Panigrahi
Keywords
Related Articles
- EP ID EP285382
- DOI -
- Views 57
- Downloads 0
Premalignant mucosal lesions in gallbladder is a rarity in south Indian patients undergoing cholecystectomy - A single centre experience
Aim: To determine the prevalence of metaplasia and dysplasia among south Indian patients undergoing cholecystectomy. Materials and Methods: Patients undergoing laparoscopic/ open cholecystectomy from January 2015 to Dece...
Effect of Kangaroo Mother Care on Procedural Pain in Preterm Neonates
Background: Pain in neonates can evoke negative behavioral, physiological or metabolic responses and associated with long term neuro-developmental outcome. Objective: To study analgesic effect of Kangaroo Mother Care (KM...
Study of pulmonary infection in patients with diabetes Mellitus
Patients with diabetes mellitus are at higher risk of developing pulmonary infections; this study was conducted to study Pulmonary infection in patients with Diabetes mellitus. Material and Method: 50 known cases of Diab...
Proposed Diagnostic Scoring System to Predict Difficult Laparoscopic Cholecystectomy
Background: One of the most common laparoscopic surgeries performed by the general surgeons all over the world is laparoscopic cholecystectomy (LC). Due to various intraoperative difficulties, it is important for a surge...
Single vs Double Layered Intestinal Anastomosis: A Comparative Study
Perforation peritonitis is a common surgical emergency in the Indian Sub-continent and tropical countries. Perforationcan be treated by resection anastomosis or by creating a temporary stoma and again creating anastomosi...