Title: Endoscopic Dacryocystorhinostomy with and Without Silicone Stent: A Comparative Study
Authors: Dr Smitha.S.G, Dr Jagannath.B, Dr Shazia
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.91
Objectives: To assess and compare the surgical outcome of Endoscopic Endonasal Dacryocystorhinostomy (DCR) with stent and without stent. Surgical success was evaluated both subjectively as well as objectively. Materials and Methods: 60 adults aged 18-60 years, with chronic epiphora were included in a prospective comparative study and categorized randomly into 2 groups that is DCR with stent / Group A and DCR without stent/Group B. Results: Surgical outcome result was similar in both the groups. Furthermore the use of stent was found to be associated with granulation tissue formation, patient discomfort and increased risk of complications. Conclusion: DCR with stent is associated with persistent complications and discomfort. It is therefore recommend that endoscopic DCR without silicone stent as the treatment of choice in cases of chronic dacryocystitis. 1. Rice DH. Endoscopic intranasal dacryocys-torhinostomy results in four patients. Arch Otolaryngol Head Neck Surg 1990; 116(6): 1061. 2. Onerci M, Orhan M, Ogretmenoglu O, Iruec M. Long term results and reasons for failure of intranasal endoscopic dacryocystorhinos-tomy. Acta Otolaryngol 2000; 120: 319-22. 3. Jin HR, Yeon JY, Choi MY. Endoscopic dacryocystorhinostomy: Creation of a large marsupialized lacrimal sac. J Korean Med Sci 2006; 21: 719-23. 4. Sprekelson MB. Endoscopic dacryocystorh-inostomy- surgical techniques and results. Laryngoscope 1996; 106: 187-9. 5. Singh M, Jain V, Gupta SC, Singh SP. Intranasal endoscopic DCR (END-DCR) in cases of dacryocystitis. Ind J Otolargngology Head Neck Surg 2004; 56(3): 177-83. 6. Sham CL, van Hasselt CA. Endoscopic terminal dacryocystorhinostomy. Laryngoscope 2000; 110: 1045-9. 7. Unlu, H. H., Aslan, A., Toprak, B., & Guler, C. (2002). Comparison of surgical outcomes in primary endoscopic dacryocystorh-inostomy with and without silicone intubation. Annals of Otology, Rhinology & Laryngology, 111(8), 704-709. 8. Kakar, V., Chugh, J. P., Sachdeva, S., & Sharma, N. (2009). Ramesh. Endoscopic dacryocystorhinostomy with and without silicone stent: A comparative study. Internet J Otorhinolaryngol, 9, 1. 9. Naik, S. M., Mushannavar, A. S., Ravishankara, S., Appaji, M. K., Goutham, M. K., Devi, N. P., & Naik, S. S. (2012). Endonasal Dacryocystorhinostomy done with and without Silicon Tube Stents: A Comparative Case Series Analysis Study. Head Neck Surg, 3(3), 147-153. 10. Durvasula, V. S. P, Gatland, D. J. (2004). Endoscopic dacrocystorhinostomy: long-term results and evolution of surgical technique. The Journal of Laryngology & Otology, 118(08), 628-632. 11. Kims JH, Shin JH, Song, et al. Long term results and fact Vas. Interv Radiol 2006;17(7): 1125- 36. Abstract
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