Laser Transcanalicular Endonasal DCR

JOURNAL TITLE: An International Journal Clinical Rhinology

Author
1. Pravesh Yadav
2. Kavita Goyal
3. Ravi Meher
4. Virad Kumar
5. Aditi Chopra
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1021
Volume
3
Issue
1
Publishing Year
2010
Pages
3
Author Affiliations
    1. Lady Hardinge Medical College and Sucheta Kriplani Hospital, New Delhi, India
    2. Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
    1. Department of ENT, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
    1. Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak Hospital New Delhi, India
    1. Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak Hospital New Delhi, India
    1. Department of ENT and Head and Neck Surgery, Maulana Azad Medical College and Lok Nayak Hospital New Delhi, India
  • Article keywords
    Dacryocystorhinostomy, endonasal, laser, transcanalicular

    Abstract

    Nasolacrimal duct obstruction is a common disorder which clinically manifests as epiphora. Many procedures have been described to bypass this obstruction, for example external dacryocystorhinostomy (DCR), endoscopic DCR with and without stents, Laser endoscopic DCR. Each of these procedures has its own success rates and complications. We did an analysis of all laser assisted endonasal DCR performed in our department from Feb 2006 to July 2009. In all we had operated 237 total cases out of which 203 were with normal endonasal DCR and 34 cases were Laser transcanalicular endonasal DCR (Laser DCR). Over all success rate was 92%(218 cases). In case of Laser assisted endonasal DCR the success rate was 70.3% (19 cases) with failure rate of 29.7% (8 cases) at three months follow-up. This preliminary study reveals that LASER DCR is associated with higher failure rates as compared to the normal endonasal DCR.

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