A COMPARATIVE STUDY OF EXTERNAL VERSUS ENDOSCOPIC DACRYOCYSTORHINOSTOMY
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Keywords
External dacryocystorhinostomy, Nasolacrimal duct obstruction, Endonasal dacryocystorhinostomy.
Abstract
Purpose: To compare external versus endoscopic dacryocystorhinostomy.
Methods: In this prospective, randomized interventional study, total 100 patients (50 patients in each group) were enrolled as per exclusion and inclusion criteria for 1 year 6 months of study duration. Patients were randomized into two groups- Group I: 50 patients who were undergo external dacryocystorhinostomy (by one of the two surgeons) and Group II: 50 patients who were undergo endoscopic endonasal.
Statistical analysis: It was performed using SPSS software (SPSS Inc., Chicago, IL, USA) for Windows program (21.0 version).
Results: Among the both group majority of pt. were between 41-70 yr. In both the groups, females were predominant. The success rate of external DCR (98%) in this study was slightly higher than endoscopic DCR (94%) but was statistically non – significant.
Conclusion: The difference between endoscopic and external DCR was not statistically significant. We concluded that these two distinct dacryocystorhinostomy methods are viable alternatives.
References
2. Amadi AJ. Endoscopic DCR vs External DCR: What's Best in the Acute Setting? J Ophthalmic Vis Res. 2017 Jul-Sep;12(3):251-253. doi: 10.4103/jovr.jovr_133_17. PMID: 28791055; PMCID: PMC5525491.
3. Jawaheer L, MacEwen CJ, Anijeet D (2017) Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction. Cochrane Database Syst Rev 2: CD007097.
4. Lieberman SM, Casiano RR (2015) Is an endoscopic approach superior to external dacryocystorhinostomy for nasolacrimal obstruction? Laryngoscope 125: 2-4.
5. Juniper EF, Thompson AK, Ferrie PJ, Roberts JN (2000) Development and validation of the mini Rhinoconjunctivitis Quality of Life Questionnaire. Clin Exp Allergy 30: 132-140.
6. de Souza C, Nissar J (2010) Experience with endoscopic dacryocystorhinostomy using four methods. Otolaryngol Head Neck Surg 142: 389-393.
7. Okuyucu S, Akoglu E, Oksuz H, Gorur H, Dagli S (2009) The effect of dacryocystorhinostomy on mucociliary function. Otolaryngol Head Neck Surg 140: 585-588.
8. Vijay Joshi, G. S. Titiyal, Swati Gupta, Kavita Lohani. “External Dacryocystorhinostomy versus Endoscopic Endonasal Dacryocystorhinostomy”. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 12, March 24; Page: 3185-3193, DOI: 10.14260/jemds/2014/2264
9. Hurwitz JJ, Rutherford S. Computerized survey of lacrimal surgery patients. Ophthalmology 1986;93:14-9.
10. Tan NC, Rajapaksa SP, Gaynor J, Nair SB. Mechanical endonasal dacryocystorhinostomy-a reproducible technique. Rhinology 2009;47:310-5.
11. Moras K, Bhat M, Shreyas CS, Mendonca N, Pinto G. External dacryocystorhinostomy versus endoscopic dacryocystorhinostomy: A comparison. J Clin Diagn Res. 2011;5:182-6.
12. Smith W, Merkonidis C, Draper M, Yung M. Endoscopic dacryocystorhinostomy in warfarinized patients. Am J Otolaryngol. 2006;27(5):327-9. doi: 10.1016/j.amjoto.2006.01.016, PMID 16935177.
13. Jin HR, Yeon JY, Choi MY. Endoscopic dacryocystorhinostomy: creation of a large marsupialized lacrimal sac. J Korean Med Sci. 2006;21(4):719-23. doi: 10.3346/jkms.2006.21.4.719, PMID 16891819.
14. Khan MK, Hossain MA, Hossain MJ, Al-Masud A,Rahman MZ. Comparative study of external and endoscopic endonasal dacryocystorhinostomy for the treatment of chronic dacryocystitis. JAFMC Bangladesh 2011;7:15-7.
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Dr. Shekhar Srivastava
Department of Ophthalmology, Hind Institute of Medical Science, Sitapur
Dr. C.M Kohli
Department of Ophthalmology, Hind Institute of Medical Science, Sitapur
Dr. Avaneesh Singh
Department of Ophthalmology, Hind Institute of Medical Science, Sitapur
Dr. Kumar Shubhanshu
Department of Ophthalmology, Hind Institute of Medical Science, Sitapur