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Updated: Jun 11, 2025
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Flap Fixation in Endoscopic Dacryocystorhinostomy: A Comparative Study
Vikas Sikarwar1, Sushil Ojha2, Ankur Joshi3
1Associate Professor, Otolaryngology and Head and Neck Surgery, Government Doon Medical College, Dehradun, Uttarakhand, India.
Background:
The usual procedure for nasolacrimal duct obstruction is dacryocystorhinostomy (DCR). Flap-based DCR techniques lead to better surgical outcome provided flaps do not dislocate in the post-operative period.
Objectives:
This study was conducted to compare gelfoam with merocel tamponade for fixation of mucosal flaps in endoscopic DCR.
Materials And Method:
Merocel tamponade was used for fixation of flaps in 26 patients. Gelfoam was used in 26 patients, and surgical results were compared.
Results:
The surgical success rate was greater in merocel tamponade fixation with less complications.
Conclusion:
Merocel tamponade can be used successfully for mucosal flap fixation in endoscopic DCR for better surgical outcome.
