Abstract

A STUDY OF ENDOSCOPIC ENDONASAL DCR WITH SILICONE STENTING

Author(s): P. Benjamin Rajendra Kumar Manish Kumar Sowjanya Kumari

BACKGROUND Watering of eyes is a troublesome symptom and dacryocystitis is the commonest pathological cause for epiphora. It is treated with dacryocystorhinostomy. It is a common problem. Failure is seen with endonasal DCR. Untreated dacryocystitis never undergoes spontaneous resolution. The procedure of choice is dacryocystorhinostomy. The aim of the study is to evaluate the surgical outcomes of endoscopic endonasal dacryocystorhinostomy (DCR) technique with and without the use of silicone stent intra operatively. MATERIALS AND METHODS The study group consists of 40 patients of both sexes and above 20 years of age having symptoms and signs of nasolacrimal duct blockage. Patients with intraorbital tumours were excluded. After history and clinical examination patients were subjected to DNE to identify nasal pathology after investigations subjected to endonasal DCR with stenting to group A and DCR without stenting to group B. RESULTS Male to female ratio was 1/5.6 with 60% having on left and 40% on the right. 825 patients had mucopurulent discharge, 5% had clear fluid. Out of 20 postop cases with stent, only 1 case was a failure which was due to granulation tissue formation around the stent. 5 cases failed out of 20 postop cases without stent. CONCLUSION Endoscopic Endonasal DCR with stent is a safe and minimally invasive procedure as it is a direct approach to sac and no other structure needs to be dissected.