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VOLUME 10 , ISSUE 2 ( May-August, 2017 ) > List of Articles


Endoscopic Dacryocystorhinostomy: Our Experience

Jyothi A Chavadaki, Ajay K Manvikar, BH Shrikrishna

Keywords : Endoscopic dacryocystorhinostomy,Lacrimal sac,Nasolacrimal duct obstruction,Neo-ostium,Silicone intubation tube

Citation Information : Chavadaki JA, Manvikar AK, Shrikrishna B. Endoscopic Dacryocystorhinostomy: Our Experience. Clin Rhinol An Int J 2017; 10 (2):49-52.

DOI: 10.5005/jp-journals-10013-1306

License: CC BY 3.0

Published Online: 01-12-2009

Copyright Statement:  Copyright © 2017; The Author(s).



To determine the outcome and safety of endoscopic dacryocystorhinostomy (ENDO-DCR) with the use of silicon stents in nasolacrimal duct obstruction (NLDO).

Materials and methods

This study was done in the Department of Otorhinolaryngology and Head and Neck Surgery, Navodaya Medical College, Raichur, from January 2013 to June 2015, with a total of 82 cases (10 cases with bilateral disease) who underwent a standardized procedure, with an endonasal approach to the lacrimal sac, surgical removal of nasal mucosa, lacrimal bone, and a fragment of the frontal process of the maxilla. The medial wall of the lacrimal sac was removed completely and canalicular silicone intubation tube was placed for 6 weeks postoperatively.

Main outcome measures were resolution of epiphora, absence of discharge, and patency of the ostium confirmed by irrigation and endoscopic evaluation of neo-ostium at 6 weeks.


The ENDO-DCR procedure with adjunctive canalicular silicone intubation tube was successful in 78 (95%) cases. No significant complications were encountered during or after the operative period.


Endoscopic dacryocystorhinostomy with canalicular silicon intubation for shorter duration (6 weeks) is a safe and successful procedure for the treatment of NLDO in adults as well as in children, with a success rate of 95%.

How to cite this article

Chavadaki JA, Manvikar AK, Shrikrishna BH. Endoscopic Dacryocystorhinostomy: Our Experience. Clin Rhinol An Int J 2017;10(2):49-52.

  1. Endoscopic endonasal laser versus endonasal surgical dacryocystorhinostomy for epiphora due to nasolacrimal duct obstruction: prospective, randomised, controlled trial. J Laryngol Otol 2007 Dec;121(12):1170-1176.
  2. Comparison of nonlaser nonendoscopic endonasal dacryocystorhinostomy with external dacryocystorhinostomy. Can J Ophthalmol 2011 Apr;46(2):191-195.
  3. Nuovo metodo conservatore di cura radicale delle suporazioni croniche del sacco lacrimale. Clin Med Firenze 1904;10:385-389.
  4. Two new operations for obstruction of the nasal duct with preservation of the canaliculi and an incidental description of a new lacrimal probe. NY Med J 1893;57: 581-582.
  5. Long term results and reasons for failure of intranasal endoscopic dacryocystorhinostomy. Acta Otolaryngol 2000 Mar;120(2): 319-322.
  6. Endonasal dacryocystorhinostomy. Acta Otorhinolaryngol Ital 1995 Dec;15(6):449-453.
  7. Results of endoscopic endonasal non-laser dacryocystorhinostomy. Doc Ophthalmol 2002 Jul;105(1):57-62.
  8. Endoscopic dacryocystorhinostomy: creation of a large marsupialized lacrimal sac. J Korean Med Sci 2006 Aug;21(4):719-723.
  9. Endoscopic dacryocystorhinostomy: surgical techniques and results. Laryngoscope 1996 Feb;106(2 Pt 1):187-189.
  10. Intranasal endoscopic DCR (END-DCR) in cases of dacryocystitis. Ind J Otolaryngol Head Neck Surg 2004 Jul;56(3):177-183.
  11. Endoscopic terminal dacryocystorhinostomy. Laryngoscope 2000 Jun;110(6):1045-1049.
  12. Lacrimal duct obstruction treated with lacrimonasal stent. Arch Soc Esp Oftalmol 2003 Jun;78(6):315-318.
  13. Complications after catheterization of nasolacrimal duct. Oftalmologia 2002;55(4): 39-42.
  14. Intubation granulomas of the lacrimal ducts in patients with silicone implants. Vestn Oftalmol 1998 Sep-Oct;114(5):29-32.
  15. Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation. Ophthalm Surg 1989 Jul;20(7):486-489.
  16. The effect of silicone intubation on failure and infection rates after dacryocystorhinostomy. Ophthalmic Surg 1994 Sep-Oct;25(9):597-600.
  17. Endoscopic dacryocystorhinostomy without stents. Auris Nasus Larynx 2000 Jan;27(1):65-71.
  18. Silicone nasolacrimal intubation with mitomycin-C: a prospective, randomized, double-masked study. Ophthalmology 2003 Feb;110(2):306-310.
  19. The safety and efficacy of Mitomycin C in endonasal endoscopic laser-assisted dacryocystorhinostomy. Ophthal Plast Reconstr Surg 2000 Mar;16(2):114-118.
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