Endoscopic Vs External Dacryocystorhinostomy in Cases of Deviated Nasal Septum and/or Turbinate Hypertrophy | ||
| Egyptian Journal of Ear, Nose, Throat and Allied Sciences | ||
| Article 48, Volume 24, Issue 24, January 2023, Pages 1-7 PDF (668.56 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejentas.2023.164599.1560 | ||
| Authors | ||
| mohamed El awady* 1; mostfa farid alnklawe2; Mahmoud Hamdy Alboghdady3 | ||
| 11. Assistant professor of Otorhinolaryngology, Faculty of Medicine of Boys, Al-Azhar University, Cairo, Egypt | ||
| 2Assistant professor, Ophthalmology Department, Faculty of Medicine of Boys, Al-Azhar University, Cairo, Egypt | ||
| 3Department of Otorhinolaryngology Faculty of Medicine of Boys, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Dacryocystorhinostomy (DCR) is a surgical procedure that improves lacrimal system drainage by establishing a lacrimal drainage channel into the nasal cavity. External DCR and endoscopic DCR for the treatment of primary acquired nasolacrimal duct blockage in the context of deviated nasal septum and/or hypertrophy of the turbinates were compared. Patients and Methods: This study included 60 patients complaining of epiphora due to nasolacrimal duct obstruction (NLDO). Patients were subdivided into two groups; group A included 30 patients submitted to endoscopic DCR and group B included 30 patients submitted to external DCR. Results: The right eye was afficted more frequently than the left. Right eye involvement was 63.6 % and left was 36.4 %. Excessive intraoperative bleeding occurred in 5 cases (16.5%) in group A and 9 cases (29.7%) in group B. The difference was not statistically significant. (P value =0.39). 28 of 30 eyes (93.3%) that had endoscopic DCR surgery and 20 of 30 eyes (66.7%) that underwent external DCR surgery had a successful surgical outcome after six months. The difference was significant as p value = 0.009. Conclusion: DCR is better performed by endoscopic approach especially in cases of deviated nasal septum and/or turbinate hypertrophy. Endoscopic DCR is a safe, less invasive method with superior outcomes compared to external DCR. | ||
| Keywords | ||
| Concha bullosa; dacryocystorhinostomy; deviated nasal septum; external DCR; endoscopic DCR; inferior turbinate hypertrophy; nasolacrimal duct obstruction | ||
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