An International Journal Clinical Rhinology

Register      Login

VOLUME 3 , ISSUE 1 ( January-April, 2010 ) > List of Articles

RESEARCH ARTICLE

Laser Transcanalicular Endonasal DCR

Pravesh Yadav, Ravi Meher, Kavita Goyal, Virad Kumar, Aditi Chopra

Keywords : Dacryocystorhinostomy,endonasal,laser,transcanalicular

Citation Information : Yadav P, Meher R, Goyal K, Kumar V, Chopra A. Laser Transcanalicular Endonasal DCR. Clin Rhinol An Int J 2010; 3 (1):23-25.

DOI: 10.5005/jp-journals-10013-1021

Published Online: 00-04-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Nasolacrimal duct obstruction is a common disorder which clinically manifests as epiphora. Many procedures have been described to bypass this obstruction, for example external dacryocystorhinostomy (DCR), endoscopic DCR with and without stents, Laser endoscopic DCR. Each of these procedures has its own success rates and complications. We did an analysis of all laser assisted endonasal DCR performed in our department from Feb 2006 to July 2009. In all we had operated 237 total cases out of which 203 were with normal endonasal DCR and 34 cases were Laser transcanalicular endonasal DCR (Laser DCR). Over all success rate was 92%(218 cases). In case of Laser assisted endonasal DCR the success rate was 70.3% (19 cases) with failure rate of 29.7% (8 cases) at three months follow-up. This preliminary study reveals that LASER DCR is associated with higher failure rates as compared to the normal endonasal DCR.


PDF Share
  1. The endoscopic approach for revision dacryocystorhinostomy. Laryngoscope 1990;100:1344-47.
  2. Endoscopic surgery for lacrimal obstruction. Otolaryngol Head-Neck Surg 1991;104:473-79.
  3. Endoscopic laser dacryocystorhinostomy. Laryngoscope 1994;104:269-74.
  4. Endoscopic holmiun: YAG laser dacryocystorhinostomy. Eye 1996;10:43-46.
  5. Endonasal laser-assisted dacryocystorhinostomy. Am J Rhinol 1999;13:371-74.
  6. Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy. Ophthalmology 1998;105:1106-13.
  7. Prospective randomized comparison of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy. Laryngoscope 1998;108:1861-66.
  8. Endonasal laser dacryocystorhinostomy: A new approach to nasolacrimal duct obstruction. Arch Ophthalmol 1990;108:1172-76.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.