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Endoscopic DCR without stents: clinical guidelines and procedure
1Department of Surgery, College of Medicine, Mosul University, Mosul, Iraq. bnathir71@yahoo.com
Summary
Stents may not be necessary after endoscopic dacryocystorhinostomy (DCR) surgery. This study found a 100% success rate in patients who did not have stents inserted post-operation.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Endoscopic dacryocystorhinostomy (DCR) is a surgical procedure to restore tear drainage.
- The use of intranasal stents after DCR is common practice but may not always be required.
Purpose of the Study:
- To evaluate the efficacy of omitting intranasal stents in selected endoscopic DCR cases.
- To determine the success rate of endoscopic DCR without stenting in patients with postsaccal obstructions.
Main Methods:
- Retrospective analysis of 35 endoscopic DCR cases over two years.
- Patient selection based on preoperative clinical and intraoperative findings indicating postsaccal obstruction.
- Stents were intentionally omitted in all selected cases.
- Follow-up ranged from 6 to 12 months (average 8 months).
Main Results:
- All 35 patients experienced symptomatic relief from epiphora and dacryocystitis.
- Endoscopic examination confirmed free passage of fluorescein dye into the nasal cavity in all cases.
- A 100% success rate was achieved without the use of intranasal stents.
Conclusions:
- Intranasal stents are not essential for successful outcomes in all endoscopic DCR procedures.
- Careful patient selection based on obstruction level and surgical technique can allow for stent omission.
- Omitting stents may simplify the procedure and reduce potential complications.
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