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[Endonasal dacryocystorhinostomy: a personal experience]
1Istituto di Discipline Otorinolaringologiche, Università di Siena. PASSALI@unisi.it
Summary
Naso-lacrimal duct obstruction, causing epiphora, often requires surgery. Endonasal dacryocystorhinostomy (DCR) offers a minimally invasive surgical solution with a high success rate, even for recurrent cases.
Area of Science:
- Otolaryngology
- Ophthalmology
- Surgical Anatomy
Background:
- Naso-lacrimal duct obstruction is a common pathology.
- Symptoms include epiphora and medial ocular canthus swelling.
- Medical and less invasive surgical treatments may fail.
Purpose of the Study:
- To evaluate the efficacy of endonasal dacryocystorhinostomy (DCR) for naso-lacrimal duct obstruction.
- To assess endonasal DCR as an alternative to traditional extra-nasal surgery.
- To analyze outcomes in patients with recurrent obstruction after prior surgery.
Main Methods:
- Endonasal dacryocystorhinostomy (DCR) performed on 67 patients over 22 months.
- Procedure utilizes micro-endoscopic techniques with basic surgical instruments.
- Includes evaluation of potential sequelae like sinusitis or adhesions.
Main Results:
- Successful surgical outcomes in 90% of patients.
- 24 patients had recurrence after traditional surgery, treated successfully with endonasal DCR.
- Procedure avoids skin incisions and addresses complications of prior surgeries.
Conclusions:
- Endonasal DCR is a highly effective surgical treatment for naso-lacrimal duct obstruction.
- It is a viable alternative to traditional extra-nasal approaches, particularly for recurrent cases.
- The technique requires specific micro-endoscopic surgical expertise but minimal specialized equipment.