Efficacy of endoscopic transnasal dacryocystorhinostomy by suture in the treatment of acute dacryocystitis as early as possible

Abstract

Objective To explore the effect of endoscopic transnasal dacryocystorhinostomy(ET-DCR)by suture in the treatment of acute dacryocystitis(AD)as early as possible. Methods The clinical data of 32 patients with unilateral AD who underwent ET- DCR by suture as early as possible were retrospectively analyzed. Results All patients presented clear anatomic structure, intraoperative hemorrhage increased in 3 cases, swelling and pain was rapidly relieving in all patients in the first day of postoperation, the mean resolution time of congestion and swelling in the middle canthus was average 3 days(range 1- 6 days), no spread of infection occurred, no facial scar appeared in all patients except one case of abscess rupture. Complete complaint relief in 26 cases, slight epiphora presented in 6 patients who confirmed for lacrimal duct obstruction and cured by intubation,and all ostial patency with no AD recurrences at the mean follow- up of 2 years(range 12 months- 5 years). Conclusion ET-DCR by suture as early as possible can be used to cure acute dacryocystitis and it is effective safe and economy. Key words: Dacryocystitis; Dacryocystorhinostomy