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[Endonasal dacryocystorhinostomy (DCR)].

G Bambule1, J Chamero

  • 1Service d'ORL, Hôpital Riviera, site du Samaritain, Vevey et site de Montreux. georges.bambule@bluemail.ch

Revue Medicale De La Suisse Romande
|November 22, 2001
PubMed
Summary

Endoscopic endonasal dacryocystorhinostomy (DCR) effectively treats chronic lacrimal pathway obstruction. This minimally invasive surgery offers a high success rate for relieving epiphora and chronic dacryocystitis, particularly in elderly women.

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Area of Science:

  • Ophthalmology
  • Otorhinolaryngology

Context:

  • Chronic obstruction of lacrimal pathways commonly presents with epiphora and chronic dacryocystitis.
  • Elderly women are the predominant demographic affected by these conditions.

Purpose:

  • To evaluate the efficacy of endonasal endoscopic dacryocystorhinostomy (DCR) for chronic lacrimal sac obstruction.
  • To assess the success rate and advantages of the intranasal endoscopic approach compared to other surgical techniques.

Summary:

  • Thirty dacryocystorhinostomies (DCR) were performed using an endonasal endoscopic approach in 26 patients.
  • A success rate of 91.7% was achieved after a single procedure, with a mean follow-up of 25 months for 24 DCRs.
  • The endonasal approach demonstrated significant advantages over the external transcutaneous method.

Impact:

  • Endoscopic endonasal DCR is a safe and effective surgical option for managing chronic lacrimal pathway obstruction.
  • This technique provides a minimally invasive solution with a high success rate, improving patient outcomes.
  • The study supports the endonasal approach as a preferred method for dacryocystorhinostomy.

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