Endonasal Dacryocystorhinostomy: A Comparative Study between Conventional Mucosal Flap and Silicone Stenting

JOURNAL TITLE: An International Journal Clinical Rhinology

Author
1. Chaitry K Shah
2. Neena H Bhalodiya
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1335
Volume
11
Issue
1
Publishing Year
2018
Pages
2
Author Affiliations
1. com.mps.common.model.Contributor@3e93d731 ,
2. com.mps.common.model.Contributor@6af07451
Article keywords
Endoscopic dacryocystorhinostomy, Nasolacrimal duct obstruction, Neo-ostium, Silicone tube stent

Abstract

Aims: Recurrent stenosis and closure of neostium are considered a major factor for surgical failure in endoscopic dacryocystitis (endo-OCR). The main objective of this study is to evaluate the role of silicon stent in maintaining the patency of neostium and compare it with the conventional mucosal flap technique. Materials and methods: Endodacryocystorhinostomy (DCR) were done in 60 eyes. In 30 eyes only mucosal flap was created and in other 30 silicon stent tubes were used. All patients were taken under general anesthesia. Results: In our study, 90% success in syringing patency was seen in the group with mucosal flap only and 100% success was seen in silicon stenting at 6 months of follow-up. Conclusion: Significant difference in endo-DCR success rates were seen with the use of stenting in our study especially in revision cases. Clinical significance: It is really important to provide success in revision cases of DCR surgery, and silicone stenting helps to obtain that according to our study.

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