Modified approach to powered endoscopic dacryocystorhinostomy.

J Laryngol Otol

Department of Otolaryngology, Royal Pearl Hospital,Tiruchirapalli,Tamil Nadu.

Published: March 2016

Objective: This paper presents modifications to powered endoscopic dacryocystorhinostomy without stenting for the management of acquired nasolacrimal duct obstruction.

Study Design: A retrospective, non-randomised review.

Method: A total of 105 patients with epiphora secondary to acquired nasolacrimal duct obstruction were operated on by our modified powered endoscopic dacryocystorhinostomy approach.

Results: Of 105 patients, 100 (95.2 per cent) have remained asymptomatic. One patient with a narrow ostium had improved symptoms, while four patients continued to experience persistent symptoms (treatment failures).

Conclusion: The modified powered endoscopic dacryocystorhinostomy approach led to excellent results, without bone exposure and granulations, and with early mucosalisation.

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http://dx.doi.org/10.1017/S0022215115003278DOI Listing

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