title: Results of endoscopic endonasal non-laser dacryocystorhinostomy.
abstract: Endoscopic dacryocystorhinostomy (EN-DCR) is a procedure that presents itself as an alternative choice to the conventional external approach. This study describes the results of endoscopic endonasal non-laser lacrimal surgery. We reported the data of 64 procedures of 63 patients with epiphora or chronic dacryocystitis who underwent primary EN-DCR by means of a microdrill or revision EN-DCR. One of these cases had bilateral surgery. There were 42 women and 21 men. Thirty-four cases had primary EN-DCR and 30 cases had revision EN-DCR secondary to previously failed external DCR. Mean follow up time was 11.34 months. The procedure was successful in 79.4% of primary EN-DCR cases and in 80% of revision EN-DCR cases. The overall success rate was 79.6%. Postoperative complications included periorbital edema, eyelid ecchymosis, punctal granuloma, cyst of the punctum, adhesion between the superior and inferior punctum. Tube dislocation occurred in 3 patients. Premature loss of silicone tube was determined in 5 patients and granulation tissue occurred at the internal osteum in 11 cases. EN-DCR, when compared with external dacryocystorhinostomy (EX-DCR), has lower success rate, but provides the potential advantages of better intraoperative hemostasis, and lack of cutaneous scar.
authors.affiliation: Ankara University, Faculty of Medicine, Department of Ophthalmology, Turkey.
authors.forename: Güler
authors.initials: G
authors.lastname: Zílelíoğlu
authors.forename: Oya
authors.initials: O
authors.lastname: Tekeli
authors.forename: Suat Hayrí
authors.initials: SH
authors.lastname: Uğurba
authors.forename: Metín
authors.initials: M
authors.lastname: Akiner
authors.forename: Tevfík
authors.initials: T
authors.lastname: Aktürk
authors.forename: Yücel
authors.initials: Y
authors.lastname: Anadolu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003608:Dacryocystorhinostomy / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009301:Nasolacrimal Duct / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation