Study the demographic, clinical and surgical outcomes of endoscopic dacryocystorhinostomy

Abstract

This study was done with an aim to study the demographic, clinical and surgical outcomes of Endoscopic Dacryocystorhinostomy. The records of patients who underwent Endoscopic DCR in the last five years were retrieved from the archival records of Department of Otorhinolaryngology and Head-Neck Surgery, K.G.M.U and were reviewed for demographic data, laterality, pre-operative complaints, co-morbidities, clinical and surgical profiles, adjunctive procedures, complications, and success rates at the last follow up. Result: The distribution of cases according to operation type is shown in table-7. Among the cases, Endoscopic DCR Left operation was performed in 94 (41.6%) cases while Endoscopic DCR Right operation was performed in 131 (58.0%) cases. There was one case operated with Endoscopic Bilateral DCR. On comparing pre to post op tearing status, it was found that at pre op the mean tearing score was 5.80±2.02 which was reduced to 1.17±1.35 at post op. So a mean reduction of 4.63±0.12 was observed which was significant statistically (p<0.001). Conclusion: Endoscopic DCR can be adopted the first-line surgical procedure for the treatment of acquired Nasolacrimal duct obstruction. Endoscopic DCR avoids external scar, endoscopic visualization and assessment can be done immediately with correction of pathology including endonasal pathologies (DNS, turbinate hypertrophy etc.).