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Updated: Mar 29, 2026
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Modified approach to powered endoscopic dacryocystorhinostomy
T N Janakiram1, N Suri2, S B Sharma1
1Department of Otolaryngology,Royal Pearl Hospital,Tiruchirapalli,Tamil Nadu.
Objective:
This paper presents modifications to powered endoscopic dacryocystorhinostomy without stenting for the management of acquired nasolacrimal duct obstruction.
Study Design:
A retrospective, non-randomised review.
Method:
A total of 105 patients with epiphora secondary to acquired nasolacrimal duct obstruction were operated on by our modified powered endoscopic dacryocystorhinostomy approach.
Results:
Of 105 patients, 100 (95.2 per cent) have remained asymptomatic. One patient with a narrow ostium had improved symptoms, while four patients continued to experience persistent symptoms (treatment failures).
Conclusion:
The modified powered endoscopic dacryocystorhinostomy approach led to excellent results, without bone exposure and granulations, and with early mucosalisation.
