IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-1-9812 Original Research Paper H vs U shaped flap technique of External DCR Comparative Evaluation of Surgical outcome with respect to Surgical time Bhawesh Chandra Saha Dr. Dr B P Sinha Dr. January 2017 6 1 01 02 ABSTRACT

 To compare the surgical outcome with respect to time in H(double) and U(single) flap technique in external dacryocystorhinostomy a prospective randomized clinical study was done with 96 patients of which 47 underwent the conventional DCR  by ‘H ‘Shaped flap and 49 by ‘U’Shaped flap with suspension to the orbicularis .Success rate was evaluated by lacrimal patency to irrigation and surgical time calculated from skin incision to skin suturing . Statistical analysis was done by Chi–square test, T–test and Fisher’s exact test.Success rate in groups A and B was 93.62% and 95.91% respectively. Surgical time difference between the groups was statistically significant with  t =7.2031, p= 0.0001(<0.05) while  difference in complication rate  was not significant  (X2 test=0.733 p=0.391).External dacryocystorhinostomy  with H flap has no advantage over the U flap which is much easier with significantly less surgical time and improved success rate.