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- Title
Endoscopic Dacryocystorhinostomy: A Study at a Tertiary Care Hospital in the Eastern Part of Odisha.
- Authors
Patsani, Monalisa; Rautray, Subhalaxmi; Mantri, Gaveshani; Behera, Subrat Kumar
- Abstract
Background: Chronic dacryocystitis is a very common problem in the old age population which is treated with Dacryocystorhinostomy (DCR) surgery. The aim of our study is to analyze the clinical profile of patients suffering from distal nasolacrimal duct obstruction and the outcome of ENDO-DCR surgery without stenting. Methods: This is an observational study carried out at the Department of ENT, SCB MCH a tertiary care hospital in the eastern part of Odisha from April 2021 to April 2022. This study includes 30 patients who underwent ENDO-DCR surgery at the ENT dept during the above-mentioned period. A detailed examination was done and all records of preoperative, intraoperative, and postoperative findings were analyzed. Result: The total number of patients included in this study was 30 out of which 26 people had unilateral eye involvement and 4 people had both eye involvement. Among them, 18 were female and 12 were male patients. The most common presenting symptom was epiphora in 70% of cases which was followed by medial canthus swelling in 20% of cases. We have done Endo DCR surgery on all patients under general anesthesia without stenting. Here we used either the Kerrison punch or a powered drill for making a fistula over the medial wall of the lachrymal sac and it has been found that the use of the Kerrison punch reduced the time of surgery significantly as compared to the drill. We have followed the patients for 3 months and found that there was stenosis of the neo-ostium in 3 numbers of cases with a success rate of 91%. Conclusion: Our observational study showed that patients undergoing EndoDCR surgery have fewer surgery-related complications, more patient satisfaction, and an almost equal success rate to external DCR for the treatment of primary acquired nasolacrimal duct obstruction.
- Subjects
ODISHA (India); DACRYOCYSTORHINOSTOMY; LACRIMAL apparatus; TERTIARY care; PATIENT satisfaction; OLD age; GENERAL anesthesia
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2023, Vol 14, Issue 10, p34
- ISSN
0975-3583
- Publication type
Article