External Dacryocystorhinostomy versus Endoscopic Non-Laser Dacryocystorhinostomy "A Comparative Study
Abdel Samea M Khalil *, Ahmed S. Elkady, Abou-Bakr E Ras, Msaad A Elsisi, Hosam Abdel-Baki, Magdi A Fathi.*
Departments of Otorhinolaryngologx and Ophthalmology*, Benha Faculty of Medicine.
Abstract:
Purpose: A retrospective study to compare outcomes after external dacryocystorhinostomy (Ex-DCR) and transnasal endoscopic assisted nonlaser dacryocystorhinostomy (End-DCR). Patients and Methods: A total of 214 Ex-DCR performed to 208 patients and a total 118 End-DCR of 1 16 patients were reviewed. The follow up period was at least one year. Three techniques were performed in each group.
Results: Patency of the drainage system was assessed by history and irrigation. A full success was achieved in 86% of Ex-DCR group and 77.1% among End-DCR group by different techniques. The operating time, difficulties, postoperative recovery time and complications were compared.
Conclusion: The Ex-DCR has a higher success rate compared to the End-DCR. However. End-DCR has a shorter operative time, no external scar and more suitable for recurrent
cases.
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