Publication:

Clinical assessment and follow up of post-operative outcomes in endonasal dacryocystorhinostomy: our experience

Background Endonasal dacryocystorhinostomy (DCR) was the gold standard for the treatment of nasolacrimal duct obstruction. The objective of the study was to assess the postoperative outcomes of endoscopic DCR.

Methods This prospective study was conducted in Department of Otorhinolaryngology, Dr. D. Y. Patil Medical College and Hospital Pimpri, Pune from July 2011 to September 2013. A total of 50 patients with complaints of continuous lacrimation were included in the study. All the patients underwent endoscopic DCR and they were observed for postoperative complications and outcome.

Results Most of the patients were in 31-40 years age group with the mean age of 33.18 years. Female dominance was observed in the study (M:F- 1:4). Postoperative complications such as epistaxis were observed in 2 cases (4.0%), nasal synechiae in 3 cases (6.0%) and postoperative crusting in 15 cases (30.0%). In 45 (90%) patients the outcome was successful at the end of 6 months and in case of 5 (10.0%) patients it was unsuccessful.

Conclusions The findings of the study concluded that endoscopic DCR was a simple, safe and invasive procedure as it has direct approach to the sac, produces excellent results without any external scar.