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Updated: Apr 3, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
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Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis
Shiv Kumar Raghuwanshi1, Sapna Raghuwanshi2, Mohit Agarwal3
1Department of ENT, LN Medical College and JK Hospital, Bhopal, MP India.
Summary
Endonasal dacryocystorhinostomy (DCR) surgery without stenting is an effective treatment for nasolacrimal duct obstruction. This study found an 88.89% success rate with minimal complications.
Area of Science:
- Otolaryngology
- Ophthalmology
- Surgical Innovation
Background:
- Nasolacrimal duct obstruction causes epiphora and requires effective treatment.
- Endonasal dacryocystorhinostomy (DCR) is a standard surgical approach.
- The role of stenting in endonasal DCR outcomes requires further evaluation.
Purpose of the Study:
- To evaluate the efficacy and outcomes of endonasal DCR surgery.
- To assess the success rate of endonasal DCR performed without stenting.
Main Methods:
- A prospective clinical study involving 90 patients with nasolacrimal duct obstruction.
- Patients underwent endoscopic DCR without the use of stents.
- Follow-up extended up to 18 months postoperatively, assessing anatomical patency and symptomatic relief.
Main Results:
- A high surgical success rate of 88.89% (80 out of 90 patients) was observed.
- The incidence of complications was low, with only 6 patients experiencing minor issues like bleeding or synechiae.
- Anatomical patency and symptomatic relief were achieved in the majority of patients.
Conclusions:
- Endoscopic DCR without stenting is a highly effective procedure for nasolacrimal duct obstruction.
- This approach can minimize patient discomfort, reduce costs associated with stenting, and decrease the need for extensive follow-up visits.
