Flap Fixation in Endoscopic Dacryocystorhinostomy: A Comparative Study

Author:

Sikarwar Vikas1,Ojha Sushil2,Joshi Ankur3,Shah Amit4,Sandhu Rameet5,Gandhi Pankaj6

Affiliation:

1. Associate Professor, Otolaryngology and Head and Neck Surgery, Government Doon Medical College, Dehradun, Uttarakhand, India

2. Associate Professor, Department of Ophthalmology Government Doon Medical College, Dehradun, Uttarakhand, India

3. (Maxillofacial Surgeon), Assistant Professor, Department of Dentistry Government Doon Medical College, Dehradun, Uttarakhand, India

4. (Maxillofacial Surgeon), Associate Professor and Head, Department of Dentistry, Government Doon Medical College, Dehradun, Uttrakhand, India

5. Professor, Department of Oral and Maxillofacial Surgery, Luxmi Bai Institute of Dental Sciences and Hospital, Patiala, Punjab, India

6. Associate Professor, Department of Prosthodontics, Uttaranchal Dental and Medical Research Institute, Uttarakhand, India

Abstract

ABSTRACT Background: The usual procedure for nasolacrimal duct obstruction is dacryocystorhinostomy (DCR). Flap-based DCR techniques lead to better surgical outcome provided flaps do not dislocate in the post-operative period. Objectives: This study was conducted to compare gelfoam with merocel tamponade for fixation of mucosal flaps in endoscopic DCR. Materials and Method: Merocel tamponade was used for fixation of flaps in 26 patients. Gelfoam was used in 26 patients, and surgical results were compared. Results: The surgical success rate was greater in merocel tamponade fixation with less complications. Conclusion: Merocel tamponade can be used successfully for mucosal flap fixation in endoscopic DCR for better surgical outcome.

Publisher

Medknow

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