Skip to main content

Advertisement

SpringerLink
Log in

Endonasal Dacryocystorhinostomy with Mucosal Flaps: Our Experience

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The endoscopic dacryocystorhinostomy (DCR) has distinct advantage over external DCR. There is no ugly scar on the face, less intraoperative bleeding, it is a daycare procedure and patient is discharged on the same day evening. Endoscopic DCR is considered to be a superior alternative technique to the conventional external DCR. Patients diagnosed with nasolacrimal duct obstruction between Jan 2009 and Jan 2011 were included in the study. One hundred and twenty endo DCR were performed with conventional ‘cold steel’ instruments. The technique involved complete exposure and marsupialization of the lacrimal sac. The surgical technique involved the creation of nasal mucosal and large posterior lacrimal flaps at the medial lacrimal sac wall and the two flaps were placed in close apposition. Success was defined as complete resolution of epiphora and a patent lacrimal system, evaluated by lacrimal irrigation and endoscopy, 1 year postoperatively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Hartikainen J, Antila J, Varpula M, Pukka P, Seppa H, Grenman R (1998) Prospective randomized comparison of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy. Laryngoscope 108:1861–1866

    Article  PubMed  CAS  Google Scholar 

  2. Eloy PH, Bertrand B, Martinez M, Hoebeke M (1995) Endonasal dacryocystorhinostomy: indications, technique and results. Rhinology 33:229–233

    PubMed  CAS  Google Scholar 

  3. Whittet HB, Shun-Shin GA, Awdry P (1993) Functional endoscopic transnasal dacryocystorhinostomy. Eye 7(54):5–9

    Google Scholar 

  4. Ibrahim HA, Noble JL, Batterbury M, Johnson CP, Williams R (2001) Endoscopic guided trephination dacryocystorhinostomy (Hesham DCR): technique and pilot trial. Opthalmology 108:2337–2346

    Article  CAS  Google Scholar 

  5. Seppa Heikki, Grenman Reider, Hartikinen Jouko (1994) Endonasal CO2-Nd: YAG laser dacryocystorhinostomy. Acta Opthalmologica 72:703–706

    Article  CAS  Google Scholar 

  6. Garfin SW (1942) Etiology of dacryocystitis and epiphora. Arch Opthalmol 27:167–188

    Article  Google Scholar 

  7. Tsirbas A, Wormald PJ (2003) Endonasal dacaryocystorhinostomy with mucosal flap. Am J Opthalmol 135:76–83

    Article  Google Scholar 

  8. Yuen KS, Lam LY, Tse MW, Chan DD, Wong BW, Chann WM (2004) Modified endoscopic dacryocystorhinostomy with posterior lacrimal sac flap for nasolacrimal duct obstruction. Hongkong Med J 10:394–400

    CAS  Google Scholar 

  9. Dolman PJ (2003) Comparison of external dacryocystorhinostomy with non laser endonasal dacryocystorhinostomy. Opthalmology 110:78–84

    Article  Google Scholar 

  10. Sonkhya N, Mishra P (2009) Endoscopic transnasal dacryocystorhinostomy with nasal mucosal and posterior lacrimal sac flap. J Laryngol Otol 123:320–326

    Article  PubMed  CAS  Google Scholar 

  11. Mann BS, Wormald PJ (2006) Endoscopic assessment of the dacryocystorhinostomy ostium after endoscopic surgery. Laryngoscope 116:1172–1174

    Article  PubMed  Google Scholar 

  12. Wormald PJ (2002) Powered endoscopic dacryocystorhinostomy. Laryngoscope 112:69–72

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Nilratan Sircar Medical College and Hospital (NRSMCH), Kolkata, West Bengal, India

    Aniruddha Majumder, Mukesh Singh, Chiranjib Das, Saumik Das & Tapan kanti Hazra

Authors
  1. Aniruddha Majumder
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mukesh Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chiranjib Das
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Saumik Das
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tapan kanti Hazra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aniruddha Majumder.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Majumder, A., Singh, M., Das, C. et al. Endonasal Dacryocystorhinostomy with Mucosal Flaps: Our Experience. Indian J Otolaryngol Head Neck Surg 65 (Suppl 2), 371–375 (2013). https://doi.org/10.1007/s12070-012-0541-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-012-0541-6

Keywords

Search

Navigation