title: Endoscopic revision surgery for recurrent epiphora occurring after external dacryocystorhinostomy.
abstract: Recurrent epiphora after external dacryocystorhinostomy (DCR) can be a frustrating experience for both the patient and the physician. We present the results of a retrospective study of 18 patients with epiphora recurring after external DCR who were operated upon to recreate lacrimal drainage through an endoscopic endonasal approach. The procedure was successful in 83.3% of cases, with no major complications. The results are comparable to those of an external approach, but the cosmetic advantages are clear. It is a 1-stage procedure that permits correction of associated intranasal disease that may be a causative factor in the recurrence of lacrimal obstruction. The endoscopic endonasal approach is a relatively safe and reliable option in the management of recurrent epiphora.
authors.affiliation: Department of Otolaryngology, Tanta School of Medicine, Egypt.
authors.forename: A
authors.initials: A
authors.lastname: El-Guindy
authors.forename: A
authors.initials: A
authors.lastname: Dorgham
authors.forename: M
authors.initials: M
authors.lastname: Ghoraba
mesh_terms: D000328:Adult; D003608:Dacryocystorhinostomy / Q000009:adverse effects*; D004724:Endoscopy; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies