Role of Endoscopic Dacryocystorhinostomy in chronic dacryocystitis with special reference to failed external DCR

Dr Ajay M Bhandarkar; Dr Suresh Pillai

Volume : V, Issue : XII, December - 2015

Role of Endoscopic Dacryocystorhinostomy in chronic dacryocystitis with special reference to failed external DCR

Dr Ajay M Bhandarkar, Dr Suresh Pillai

Abstract :

Aims and objectives: To evaluate the effectiveness of transnasal endoscopic dacryocystorhinostomy (DCR) in failed external DCR and to determine the causes and treatment of failed external DCR and to determine the incidence and nature of complications encountered postoperatively. Materials and methods: 22 patients with previously failed external DCR were studied over a period of 4 years in a tertiary care hospital with respect to the various parameters associated with failed external DCR. Results: Inadequate ostium in external DCR was noted as the most common cause for failure. Endoscopic sinus surgery in conjunction with endoscopic DCR has a role in improving results in DCR. Stenting produces granulations when compared to the non–stented group and complications are extremely minimal in endoscopic DCR. Synechiae was the most common complication of endoscopic DCR. Conclusion: Endoscopic DCR plays an important role in producing improved results as a primary surgery or as a revision surgery in chronic dacryocystitis.