The Endoscopic Endonasal Dacryocystorhinostomy in Daraa Tafilat –Sud Est Area of Morocco

Abstract

Objective: The endoscopic endonasal dacryocystorhinostomy (EE-DCR) surgery is a minimally invasive surgery for lacrimal sac. The aim of our study is to analyze and evaluate our patients undergoing EE-DCR during 12 months. Patients et methods: First retrospective study of 23 EE-DCR in Daraa-Tafilalt, sud est area of Morocco from 01/01/2021 to 30/12/2022. This work is an ananalysis of epidemiological data, operative indications, clinical and radiological findings of intraoperative and postoperative anatomical and functional results. Results: This study included 20 women (86.9%) and 3 men. The median age is 45 years. Surgical indications are divided between failure of DCR externally (7 cases), nose and sinus associated pathology (11 cases), dacryocele (5 cases). Our success rate is 87,5% in first-line DCR (14/16). It is 85,7% in revision of external failure. No major complication is collected. Conclusion: The EE-DCR is becoming increasingly widely adopted and is now the preferred DCR technique in many centres. It remains just as effective and reliable than externally with a success rate almost comparable (85% to 90%). The success of an EE-DCR is conditioned by close multidisciplinary collaboration (ENT/Ophthalmologists/Radiologists), a mastery of technical and finally, and a good post-operative care.