Raheel Ahmad, Atif Rafique, Sarfraz Latif.
Endoscopic Dacryocystorhinostomy: Experience at Sheikh Zayed Hospital, Lahore.
Pak J Otolaryngol Jan ;29(3):74-6.

INTRODUCTION: External dacryocystorhinostomy (DCR) has been the gold standard for treatment of blocked nasolacrimal duct. We evaluated results of endoscopic endonasal DCR in our institution. OBJECTIVE: The aim of the present study is to report the experience of the Otorhinolaryngology department of Sheikh Zayed Hospital Lahore in the management of the obstruction of the nasolacrimal system by endoscopic endonasal dacryocystorhinostomy (DCR). SUBJECTS AND METHODS : Retrospective descriptive study conducted in the department of ENT, Sheikh Zayed Hospital, Lahore from January 2008 to January 2011. All patients who were referred to ENT department for blocked nasolacrimal duct were assessed for inclusion in this study. Patients who suffered with history of sinonasal disease or previous surgery for obstruction of nasolacrimal system on same eye were excluded. RESULTS : Total of 67 patients were included, 48 were males and 19 were females, mean age was 59 years (range 32- 79). All underwent endoscopic dacryocystorhinostomy. We encountered only minor complications, 4 patients developed hemorrhage, 1 preseptal cellulitis and 1nasal adhesions. After a median follow-up of 6 months, 61 patients were completely symptom free, 4 were partially asymptomatic and treated conservatively and 2 did not show any improvement and required revision surgery. CONCLUSION: Endoscopic endonasal dacryocystorhinostomy (DCR) is now safer and better technique than conventional external dacryocystorhinostomy (DCR).

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