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Non-endoscopic Endonasal Dacryocystorhinostomy

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Principles and Practice of Lacrimal Surgery

Abstract

The main advantages of an endonasal approach DCR include the absence of a visible scar, minimal postoperative morbidity, faster recovery and comparable success rates to that of external DCR. In addition to these, there are certain advantages of non-endoscopic endonasal approach in comparison to endoscopic approaches. The current chapter describes the technique of non-LASER, non-endoscopic endonasal DCR (NEN-DCR) which retains the benefits of an endonasal approach while alleviating the need for expensive video endoscope or laser systems.

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References

  1. Caldwell GW. Two new operations for obstruction of the nasal duct with preservation of the canaliculi and an incidental description of a new lacrymal probe. NY Med J. 1893;57:581–2.

    Google Scholar 

  2. Toti A. Nuovometo do conservatore di curare di caledelle suppurazioni croniche del sacco lacrimale (dacriocistorinostomia). Clin Mod Firenze. 1904;10:385–7.

    Google Scholar 

  3. Massaro BM, Gonnering RS, Harris GJ. Endonasal laser dacryocystorhinostomy. A new approach to nasolacrimal duct obstruction. Arch Ophthalmol. 1990;108:1172–6.

    Article  CAS  PubMed  Google Scholar 

  4. Dolman PJ. Comparison of external dacryocystorhinostomy with non-laser endonasal dacryocystorhinostomy. Ophthalmology. 2003;110:78–84.

    Article  PubMed  Google Scholar 

  5. Tsirbas A, Wormald PJ. Endonasal dacryocystorhinostomy with mucosal flaps. Am J Ophthalmol. 2003;135:76–83.

    Article  PubMed  Google Scholar 

  6. Hartikainen J, Grenman R, Puukka P, et al. Prospective randomized comparison of external dacyrocystorhinostomy and endonasal laser dacryocystorhinostomy. Ophthalmology. 1998;105:1106–13.

    Article  CAS  PubMed  Google Scholar 

  7. Tarbet KJ, Custer PL. External dacryocystorhinostomy. Surgical success, patient satisfaction and economic costs. Ophthalmology. 1995;102:1065–70.

    Article  CAS  PubMed  Google Scholar 

  8. Razavi ME, Eslampoor A, Noorollahian M, et al. Non-endoscopic endonasal dacryocystorhinostomy—technique, indications, and results. Orbit. 2009;28:1–6.

    Article  PubMed  Google Scholar 

  9. Preechawai P. Results of non-endoscopic endonasal dacryocystorhinostomy. Clin Ophthalmol. 2012;6:1297–301.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Onerci M, Orhan M, Ogretmenoglu O, et al. Long-term results and reasons for failure of intranasal endoscopic dacryocystorhinostomy. Acta Otolaryngol. 2000;120:319–22.

    Article  CAS  PubMed  Google Scholar 

  11. Ganguly A, Videkar C, Goyal R, Rath S. Nonendoscopic endonasal dacryocystorhinostomy: outcome in 134 eyes. Indian J Ophthalmol. 2016;64:211–5.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Fayers T, Dolman PJ. Bicanalicular silicone stents in endonasal dacryocystorhinostomy: results of a randomized clinical trial. Ophthalmology. 2016;123:2255–9.

    Article  PubMed  Google Scholar 

  13. Jain S, Ganguly A, Singh S, et al. Primary nonendoscopic endonasal versus delayed external dacryocystorhinostomy in acute dacryocystitis. Ophthal Plast Reconstr Surg. 2017;33(4):285–8.

    Article  PubMed  Google Scholar 

  14. Ganguly A, Kaza H, Kapoor A, et al. Comparative evaluation of the ostium after external and non-endoscopic endonasal dacryocystorhinostomy using Image processing (Matlabs and Image J) softwares. Ophthal Plast Reconstr Surg. 2016. https://doi.org/10.1097/IOP.0000000000000786.

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Correspondence to Suryasnata Rath M.S., F.R.C.S. .

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Rath, S., Mahapatra, S., Dolman, P.J. (2018). Non-endoscopic Endonasal Dacryocystorhinostomy. In: Ali, M. (eds) Principles and Practice of Lacrimal Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-5442-6_23

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  • DOI: https://doi.org/10.1007/978-981-10-5442-6_23

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  • Online ISBN: 978-981-10-5442-6

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