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الأربعاء 14 شعبان 1441
Wednesday 08th April 2020
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Is endonasal endoscopic Dacryocystorhinostomy is a safe and successful procedure: An audit of 106 cases
Muhammad Azeem Aslam, Junaid Shahzad
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Journal Reference:
Volume 11 - Issue 5     September - October 2019
Download Abstract:
Objective: To evaluate the results of Endoscopic Endonasal Dacryocystorhinostomy (EE-DCR) in terms of anatomical and subjective success rate and complications encountered.
Study Design: A retrospective Descriptive study
Place and Duration: ENT Department of Al-Nafees medical college hospital (ANMCH) Islamabad, from 10th April 2010 to 22nd January 2019.
Methodology: Data was recovered from patient hospital record of ANMCH. Patients who presented with epiphora due to distal naso-lacrimal duct obstruction were included in this study whereas those with lid mal-position, pre lacrimal sac obstruction, post facial trauma nasolacrimal duct obstruction, age less than 18 years and post-operative follow up of less than 8 months were excluded. Results of surgery in terms of anatomical and subjective success and associated complications were noted in Performa.
Results: Data retrieved from the hospital records of 103 patients who had 106 EE-DCR procedures were included in study. Male to female ratio was 1: 6.  Majority of patients (61.3%) were in 18–40 years of age group. Anatomical success was achieved in 96.2% patients. Subjective success was achieved in 95.3% patients. Major complications encountered were Tube displacement in 9.4%, Ecchymosis in 6.6%, detachment of DCR tube from probe in 3.7%, Nasal Adhesions in 2.8% and Hemorrhage in 2.8%.
Conclusion:  Endoscopic endonasal DCR is a safe procedure with minimal complications and high anatomical and functional success rate.
Keywords: Transnasal Endoscopic surgery, Dacryocystorhinostomy, Lacrimal apparatus diseases, Nasolacrimal duct.
How to Cite This:

Aslam MA, Shahzad J. Is endonasal endoscopic Dacryocystorhinostomy is a safe and successful procedure: An audit of 106 cases.Isra Med J. 2019; 11(5): 376-379.

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