CROSS SECTIONAL STUDY OF SUCCESS RATE OF EXTERNAL DACRYOCYSTORHINOSTOMY SURGERY WITH AND WITHOUT INTUBATION STENT USAGE IN A TERTIARY CARE HOSPITAL

Author:

Kamath Kokila G.1,Jadhav Vishal S2

Affiliation:

1. Associate Professor and Head of Unit-2, Department of Ophthalmology, Seth GSMC and KEMH, Parel, Mumbai-400012

2. Bonded Assistant Professor, Department of Ophthalmology, Seth GSMC and KEMH, Parel, Mumbai- 400012.

Abstract

Dacryocystorhinostomy is widely considered as the standard treatment due to chronic nasolacrimal duct obstruction (NLDO). These procedures include standard external Dacryocystorhinostomy (DCR), non-laser endonasal endoscopic DCR (EN-DCR), and endonasal endoscopic laser DCR (LA-DCR)1. However external DCR is considered as the gold standard surgical method in the treatment of NLDO. Our study describes a comparative study of success rates of external DCR surgery, wherein 30 patients each were included for with and without silicone tube intubation usage respectively. The results showed a higher success rate (90%) in outcome of external DCR surgery using silicone tube intubation as compared to that without its usage (80%). Therefore, this study was aimed to shed further light on EXDCR surgery using intubation stents. The study also helps in shedding light on better post-operative management and obtaining higher success rates in case of EX-DCR surgery.

Publisher

World Wide Journals

Reference7 articles.

1. Caldwell GW. Two new operations for obstruction of the nasal duct, with preservation of the canaliculi and an incidental description of a new lacrimal probe. N Y Med J 1893; 57:581-582.

2. Li D, Ding J. Whether external Dacryocystorhinostomy will be abandoned. Zhongua Yan Ke Za Zhi. 2014;50(8):566-8.

3. Feng YF, Cai JQ, Zhang JY, Han XH. A meta-analysis of primary dacryocystorhinostomy with and without silicone intubation. Can. J. Ophthalmol. 2011; 46:521–527. doi: 10.1016/j.jcjo.2011.09.008.

4. Rather S, Singh T. External dacryocystorhinostomy with & without silicon tube intubation in chronic dacryocystitis with nasolacrimal duct block. JK Sci. 2013; 15:24–27.

5. Berryhill, Bruce H, Dorenbusch, A.A. and NC Charlotte- Twenty years’ experience with intranasal transseptal dacryocystorhinostomy, April 1982; Vol 92 379-381

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