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Related Experiment Videos

Endoscopic dacryocystrhinostomy.

Bernardo Cunha Araujo Filho1, Richard Louis Voegels, Ossamu Butugan

  • 1Division of Clinical Otorhinolaryngology, SBORL, HCFMUSP. bcaf@terra.com.br

Brazilian Journal of Otorhinolaryngology
|August 1, 2006
PubMed
Summary

Endonasal endoscopic dacryocystorhinostomy (EN-DCR) is a safe and effective procedure for nasolacrimal duct obstruction. This study reports an 82.3% success rate, highlighting its advantages over external techniques.

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Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Surgical Procedures

Background:

  • Nasolacrimal duct obstruction causes epiphora and requires effective management.
  • Endonasal endoscopic dacryocystorhinostomy (EN-DCR) is an established surgical approach.

Purpose of the Study:

  • To evaluate the experience and outcomes of EN-DCR at the University of São Paulo.
  • To compare EN-DCR results with existing literature.

Main Methods:

  • Retrospective clinical study of 17 patients (17 eyes) undergoing EN-DCR between April 2001 and July 2004.
  • Analysis of patient demographics, etiology, surgical technique, silicone tube use, follow-up, and complications.

Main Results:

  • The study included 17 patients (8 male, 9 female), aged 29-79 years, with a mean follow-up of 15 months.

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  • A success rate of 82.3% was achieved. Silicone tubes were used in all cases.
  • Powered DCR and YAG LASER techniques were employed in some cases.

    • Conclusions:

    • EN-DCR is a safe surgical technique with demonstrated advantages over external dacryocystorhinostomy.
    • Collaboration between ophthalmologists and ENT physicians is crucial for optimal patient care.