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Year : 2016  |  Volume : 18  |  Issue : 2  |  Page : 58-61

The added value of endoscopic dacrocystorhinostomy performed by the otolaryngologist: A tertiary care experience

Department of Ophthalmology & Otolaryngology, Head and Neck Surgery, Umm Al-Qura University; The Director of the Head and Neck and Skull Base Center King Abdullah Medical City (KAMC), Makkah, Saudi Arabia

Correspondence Address:
MD, FRCSC Osama A Marglani
Head of the Department of Ophthalmology and Otolaryngology Head and Neck Surgery Umm Al-Qura University; Director of the Head and Neck and Skull Base Center, King Abdullah Medical City
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.275265

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Introduction: Dacryocystorhinostomy (DCR) is the preferred treatment for lacrimal duct blockage. Endoscopic DCR has been practiced increasingly in recent years as it avoids a facial scar and can be performed as a day procedure. Recent improvements in endonasal surgical technique led to success rates of up to 90 per cent. However, the endonasal approach often requires concomitant procedures along with DCR for optimal outcome. This includes procedures like septoplasty, turbinoplasty etc. Aims and Objective: The aim was to assess the added value of endoscopic DCR performed by otolarygologist surgeons in terms of simultaneous intranasal procedures for optimal outcome which cannot be performed by oculoplastic surgeons. Design of Study: Retrospective tertiary care study. Materials and Methods: we retrospectively studied the demographic, clinical, and surgical data of 87 endoscopic DCR cases performed over the last 3 years. Complication rates in the patients who had simultaneous procedures were documented. Results: The rates of simultaneous nasal procedures (septoplasty, turbinectomy, and polypectomy) were 21.8%. No complications were noted. Conclusions: A significant proportion of patients undergoing endoscopic DCR may req uire ancillary endonasal procedures that is performed by the otolaryngologist at the same operative setting with minimal complications for optimal outcome and to decrease the recurrences

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