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Modified approach to powered endoscopic dacryocystorhinostomy

Published online by Cambridge University Press:  14 December 2015

T N Janakiram
Affiliation:
Department of Otolaryngology, Royal Pearl Hospital, Tiruchirapalli, Tamil Nadu
N Suri*
Affiliation:
Department of ENT, Gujarat Medical Education and Research Society (‘GMERS’) Medical College, Gandhinagar, India
S B Sharma
Affiliation:
Department of Otolaryngology, Royal Pearl Hospital, Tiruchirapalli, Tamil Nadu
*
Address for correspondence: Dr Neeraj Suri, A/94, Shantam Tower, Behind Civil Hospital, Meghaninagar Road, Shahibaug, Ahmedabad, Gujarat, India E-mail: singhn_16@yahoo.com

Abstract

Objective:

This paper presents modifications to powered endoscopic dacryocystorhinostomy without stenting for the management of acquired nasolacrimal duct obstruction.

Study design:

A retrospective, non-randomised review.

Method:

A total of 105 patients with epiphora secondary to acquired nasolacrimal duct obstruction were operated on by our modified powered endoscopic dacryocystorhinostomy approach.

Results:

Of 105 patients, 100 (95.2 per cent) have remained asymptomatic. One patient with a narrow ostium had improved symptoms, while four patients continued to experience persistent symptoms (treatment failures).

Conclusion:

The modified powered endoscopic dacryocystorhinostomy approach led to excellent results, without bone exposure and granulations, and with early mucosalisation.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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References

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