Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Article

J Pak Med Assoc. 2014; 64(6): 619-623


Results of Endoscopic Endonasal Dacrocystorhinostomy

Muhammad Azeem Aslam,1 Aneequllah Baig Mirza,2 Imran Azam Butt3.

Abstract
Objectives: To analyse the results of Endonasal Endoscopic Dacrocystorhinostomy regarding complications and
success rate.
Methods: The prospective quasi-experimental study was conducted at the Departments of Otolaryngology and
Ophthalmology of Islamic International Medical College Teaching Hospital, Rawalpindi, from August 2008 to July
2012. Patients presenting with epiphora and diagnosed with chronic nasolacrimal duct obstruction were included
in the study. Endonasal Endoscopic Dacrocystorhinostomy was performed under general anaesthesia. Patients were
followed up for at least 6 months after the removal of dacrocystorhinostomy tube. Complications during and after
the procedure were recorded.
Results: Of the 31 patients in the study, 27(87%) were females and 4 (13%) were males with an overall mean age of
45.713.4 years (range: 21-70). The duration of symptoms ranged between 6 months and 13 years (Mean: 4.13.2).
Average duration of endoscopic dacrocystorhinostomy was 4017.5 minutes (range: 25-70). The tube was removed
6 months after operation in 27 (87%) patients and after 3 months in 4 (13%). Complications encountered were peroperative
haemorrhage in 4(13%), ecchymosis in 2(6%), nasal adhesions in 3(9.6%), granulations at osteotomy site
in 1(3.2%), retrograde tube displacement in 3(9.6%) and symblepheron in 1(3.2%) patient. Of the total, 26(84%)
patients were symptom-free 6 months after the removal of the tube. Two (6.4%) patients underwent revision surgery
and were symptom-free 6 months after the removal of the tube. Overall success rate of the procedure was 28(90%).
Conclusions: Endonasal Endoscopic Dacryocystorhinostomy is an effective procedure with high success rate and
minimal complications.

Key words: Dacryocystorhinostomy, Nasolacrimal obstruction, Endoscopic surgery.



Share this Article


Advertisement
Journal of Complementary Medicine Research

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.