---

Comparison of surgical outcome of endoscopic DCR using gouge or drill with or without stent

---

Original Article

Author Details : Kamalpreet Singh*, Amrindarjeet Kour, Poonam Raj, Arun Gupta

Volume : 7, Issue : 1, Year : 2024

Article Page : 3-6

https://doi.org/10.18231/j.ijoas.2024.002

Suggest article by email

Get Permission

---

Abstract

Introduction: The aim of the study was to evaluate the longterm results of endoscopic endonasal dacryocystorhinostomy in the management of epiphora due to nasolacrimal duct obstruction.
Materials and Methods: The prospective study included 30 patients of all age and either sex with features of dacrocystitis. Patients were randomly distributed for one of the following surgeries - Dacryocysto-rhinostomy using Stent and Powered instruments (STPI) / Dacryocysto-rhinostomy using Stents and Gouge (STGO) / Dacryocysto-rhinostomy using Powered instruments (NSPI) / Dacryocysto-rhinostomy using only Gouge (NSGO). Follow up till 365 days was done and data on outcome, recurrence and complications were collected.
Results: Success rate of all the procedures were 100 % at Day 3 and Day 7. On Day 30, success rate of all the procedures except NSGO were 100 %. At day 90 and 180, success rates were NSGO (85.7%); NSPI (100%); STGO (100%); STPI (85.7%). At day 365, success rates were NSGO (57.1%); NSPI (100%); STGO (100%); STPI (71.4%). The difference was not statistically significant (p <0> Conclusion: Endoscopic DCR is a safe day-care procedure done which can be done under local anaesthesia with excellent results. Its efficacy ranges from 85.7-100% on Day 90 and 180; and 57.1-100% on Day 365. Success rate of all four procedures are same. In view of high success rate and low complications with all four procedures (NSGO; NSPI; STGO; STPI), endoscopic DCR using gouge or drill with or without stent were recommended.
 

Keywords: Endoscopy, Dacryocystorhinostomy, Stent, Epiphora

How to cite : Singh K, Kour A, Raj P, Gupta A, Comparison of surgical outcome of endoscopic DCR using gouge or drill with or without stent. J Otorhinolaryngol Allied Sci 2024;7(1):3-6

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.