Endo-Nasal Dacryocystorhinostomy With and Without Nasal and Lacrimal Flap A Clinical Study
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 9
Abstract
EDCR (Endoscopic Dacryocystorhinostomy) is popular among the surgeons as closer of the rhinostomy opening, facial scar, psuedoepithileal fold formation, angular vein damage, CSF leak, etc. has been overcome through endonasal DCR. A growing clinical experience has confirmed the value of endoscopic DCR technique in the management of nasolacrimal duct obstruction. Although several techniques for endoscopic DCR have been described, the nasal and lacrimal mucosal flap preservation technique produces a large and stable ostium .The purpose of our study is to validate a technique described by Tsirbas and Wormald in which apposition of C- shaped nasal mucosal flap and a large anterior lacrimal sac flap. This study validates the concept of preserving the lacrimal and nasal mucosa through an endoscopic approach to treat nasolacrimal duct obstruction. Early and controlled lining of the fistula with mucosal flaps appears to prevent closer of the ostium and leads to a high success rate and we suggest preservation of mucosal flap for achieving successful clinical outcome.
Authors and Affiliations
Dr. Sonu Parmar, Dr. Ramdayal, Dr. Bharti Solanki, Dr. Ankit Goyal
Keywords
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