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Updated: Jun 12, 2026
07:30
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Current recommendations of dacryocystorhinostomy]
E F Meister1, M Otto, F Rohrwacher
1Klinik für Hals-, Nasen-, Ohrenheilkunde Klinikum St. Georg gGmbH, Delitzscher Strasse 141, 04129 Leipzig. HNO@sanktgeorg.de
Laryngo- Rhino- Otologie
|June 12, 2010
Summary
Endoscopic endonasal dacryocystorhinostomy (DCR) is increasingly replacing external DCR for lacrimal sac obstructions. However, current results suggest external DCR may still have a slightly higher success rate.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Surgical Techniques
Background:
- External dacryocystorhinostomy (DCR) was the gold standard for lacrimal sac or nasolacrimal duct obstructions.
- Endoscopic endonasal techniques have gained prominence, particularly with advancements in functional endoscopic sinus surgery (FESS).
Purpose of the Study:
- To review reasons for lacrimal sac obstruction and diagnostic procedures.
- To compare external DCR with endoscopic endonasal DCR techniques.
- To discuss the role of adjuvants in DCR surgery.
Main Methods:
- Literature review comparing external and endonasal dacryocystorhinostomy.
- Analysis of diagnostic procedures and therapeutic indications.
- Discussion of surgical modifications and adjuvant use (laser, mitomycin, fluorouracil, silicon intubation).
Main Results:
- Endoscopic endonasal DCR is increasingly performed by ENT surgeons and ophthalmologists.
- Published success rates for endonasal DCR appear slightly lower than those for external DCR.
- Adjuvants and modifications to endonasal techniques are discussed.
Conclusions:
- While endonasal DCR is gaining acceptance, external DCR may offer superior success rates.
- Further research may be needed to optimize endonasal DCR outcomes.
- The choice of technique depends on patient factors and surgical expertise.
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