Short-Term Results of Endonasal Dacryocystorhinostomy with a Mucosal Flap and a Bone Dissection Technique

Dhanasekar, Ganapathy; Umapathy, Neelapan; Dapling, Robert B.; Skinner, Derek W.
June 2009
Journal of Otolaryngology -- Head & Neck Surgery;Jun2009, Vol. 38 Issue 3, p390
Academic Journal
Objective: To determine the short-term results of endonasal dacryocystorhinostomy (DCR) with a mucosal flap and a bone dissection technique. Materials and Methods: A retrospective study including consecutive 22 patients who underwent endonasal DCR between June 2004 and January 2006. The study was designed to look at the patients' symptoms and satisfaction following the procedure; hence, a telephone survey was undertaken. The absence or improvement of symptoms was defined as a successful outcome. Results: There were 22 patients in the study cohort. The mean follow-up was 12 months. The procedure was successful in 20 patients (90.9%), with no residual epiphora. Failure was noted only in 2 patients. Conclusion: The short-term success rate of endonasal DCR was 90.90%. In a previous study from our unit, the success rate with endonasal laser DCR at 1 year was 83% and the 5-year success rate was only 56%, which made us stop doing the laser approach. We currently favour endonasal DCR with the mucosal flap approach in our unit.


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