A clinical study on the success rate of endoscopic dacryocystorhinostomy

Akula Swathi; Akula Satya Preethi; Ch. Bhava Teja; Pandit Vinodh Bandela; Meela Ranjith Kumar

doi:10.53730/ijhs.v6nS4.12099

Authors

Akula Swathi Consultant ENT Surgeon, Prasad Multispecialty Hospital, Madanapalle, Andhra Pradesh, India
Akula Satya Preethi Assistant Professor, Department of Biochemistry, Konaseema Institute of Medical Sciences, Amalapuram, Andhra Pradesh, India
Ch. Bhava Teja Consultant Orthopedic Surgeon, Vishwa Ortho Hospital, Madanapalle, Andhra Pradesh, India
Pandit Vinodh Bandela
panditvinodh@gmail.com
Associate professor, Department of Biochemistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India
Meela Ranjith Kumar Tutor, Department of Pharmacology, Government Medical College and Hospital, Telangana, India

Keywords:

dacryocystorhinostomy, epiphora, mucopurulent discharge, nasal endoscopy, syringing

Abstract

Background: Endoscopic dacryocystorhinostomy (DCR) has advantages like excellent homeostasis, absence of scar, less post operative pain and edema. However, less literature is available on success rate. Aim and objectives: To evaluate the success rate of endoscopic DCR. After 3 months DCR success rate was estimated based on relief perceived by the patient, free flow of saline on syringing through the lower canaliculus and presence of patent stoma visualized on rigid endoscopy. Materials and methods: 25 Epiphora patients underwent anterior rhinoscopy, nasal endoscopy, syringing, CT scan and DCR. They were evaluated for the relief of symptoms at 2 week and 3 month respectively. Results: Mostly 76% females with mean age (females:54.4/Males:59) were present. Symptoms: watering of eyes (100%), swelling (92%) and mucopurulent discharge (68%). Disease on the right side- 40% and left side -56% only 4% were with bilateral disease. On follow up after 3months 96% patients reported symptomatic relief of complaints and 4% had granulations at the neoostium and synechiae between nasal and lacrimal mucosa which were removed and subsequent relief of symptoms and free flow of saline on syringing were seen. Conclusion: Endoscopic DCR is a safe, minimally invasive, surgical procedure with 96% functional success rate.

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