Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Nasolacrimal duct obstruction (NLDO) can cause epiphora which is a very common condition with numerous etiologies. Dacryocystorhinostomy (DCR) is the treatment of choice for NLDO. It can be performed through a cutaneous incision, referred to as external DCR (EX‐DCR), or via a transnasal approach referred to as endonasal DCR (EN‐DCR). The current study aims to assess the functional and anatomic success of the EX‐DCR and EN‐DCR procedures, along with the operative time, adverse events, success rates and patient satisfaction. This retrospective observational study included 68 patients who had EX‐DCR performed by an ophthalmologist and 53 patients who had EN‐DCR performed by an otorhinolaryngologist between 1st July 2019 and 31st December 2023. Data was collected on a number of factors, including age, gender, ocular history, pre‐ and post‐operative eye exams, surgical time, adverse events, follow‐up times, patient satisfaction and success. Statistical analysis is carried out with the use of SPSS. A total of 121 patients were included in the study., 53 had undergone EN‐DCR surgery and 68 had undergone EXDCR surgery. Our patient population's demographics were statistically comparable in both groups. With anatomical success of 88.23% in the EXDCR group and 88.67% in the EN‐DCR group and functional success of 76.47% in the EX‐DCR group and 77.35% in the EN‐DCR group, our results demonstrated a high and comparable success rate of both approaches. We found relatively higher rate of complication in EX‐DCR compared to EN‐DCR without any serious complications. We discovered that EN‐DCR surgery is faster than EX‐DCR surgery, which is in line with the literature. In the EN‐DCR group, patient satisfaction was likewise noticeably higher. This study suggests that both procedures have a high success rate and are almost equally effective at relieving the symptoms of epiphora. For the treatment of NLDO, EN‐DCR is a very appealing procedure due to its shorter recovery time, lack of visible scarring and success rates that are comparable to those of EX‐DCR.
How to cite this article:
Chhavi Gupta, Parvendra Singh and Manoj Kumar. Retrospective Study to Compare External and Endoscopic Endonasal Dacryocystorhinostomy for Acquired Nasolacrimal Duct Obstruction.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.562.567
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.562.567