Clinical Study on Prognostic Indicators of Endonasal Dacryocystorhinostomy - ORIGINAL ARTICLE
Author Sudhakararao Madala, Ravikiran Potluri, Venkata DP Chodavarapu, Satishchandra Tripuraneni, PSN Murthy
ISSN 0974-4630
JournalTitle Clinical Rhinology An International Journal
DOI 10.5005/jp-journals-10013-1318
Volume 10
Issue 3
Publishing Year 2017
Pages 103-106
  • Get Access
Export Citation

Share this page


Aim: To assess various preoperative and peroperative clinical findings in endonasal dacryocystorhinostomy (DCR) as prognostic indicators of the surgical outcome.

Materials and methods: A prospective study of 25 cases of chronic dacryocystitis with epiphora. All the patients were divided into two groups based on the presence or absence of medial canthal swelling with regurgitation of mucopus on finger pressure over medial canthus. Other factors included duration of epiphora, associated nasal problems, condition of the bone, sac wall, and lumen of the sac during surgery.

Results: Out of 14 patients with medial canthal swelling (group I), all were successful on the table with free flow of saline, but one patient developed symptoms on 6 months follow-up and that was treated as failure. Out of 11 patients without medial canthal swelling, five were successful with free flow of saline on the table and six were unsuccessful because of tight or absent flow with regurgitation.

Conclusion: Presence of medial canthal swelling and regurgitation of mucopus on digital pressure over medial canthus is a good prognostic indicator for a favorable surgical outcome. In patients without medial canthal swelling, we need to rely on syringing or dacryocystogram. Early intervention gives good results.

Keywords: Dacryocystorhinostomy, Endonasal, Prognosis, Surgical.

How to cite this article: Madala S, Potluri R, Chodavarapu VDP, Tripuraneni S, Murthy PSN. Clinical Study on Prognostic Indicators of Endonasal Dacryocystorhinostomy. Clin Rhinol An Int J 2017;10(3):103-106.

Source of support: Nil

Conflict of interest: None

Pane 2 Content

and so on ...

Related Journals

" The International Journal of Phonosurgery and Laryngology (IJOPL) is the official journal of the Association of Phonosurgeons of India, a conglomeration of otolaryngologists, who are interested in laryngology and voice. International Journal of Phonosurgery an..."

" There is a virtual explosion of information that is available to those engaged in the management of head and neck diseases. We realize that it is imperative to have one more head and neck journal to allow a greater publication avenue for the head neck communit..."

Otorhinolaryngology Clinics - An International Journal by Bachi T Hathiram, Vicky S Khattar Rating Star

" Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. I..."