title: Frequency of simultaneous nasal procedures in endoscopic dacryocystorhinostomy.
abstract: OBJECTIVE
  To assess the frequency of simultaneous nasal procedures in powered endoscopic dacryocystorhinostomy performed by oculoplastic surgeons.
  
  
  METHODS
  Retrospective, multicenter study.
  
  
  METHODS
  Demographic, clinical, and surgical data of consecutive endoscopic dacryocystorhinostomy cases at 3 oculoplastic centers, over periods of 6, 4, and 2.2 years, respectively, were reviewed. The rates of simultaneous nasal procedures (septoplasty, turbinectomy, and polypectomy) were studied. Complication rates in the patients who had simultaneous endonasal procedures were analyzed.
  
  
  RESULTS
  Five hundred seventy-six cases (mean age: 63.2 years [16.2-94 years], women: 67.3%). Of the total cohort of patients, 14.1% required a simultaneous endonasal procedure during endoscopic dacryocystorhinostomy, 11.9% (range among surgeons: 5.2%-15%) required septoplasty, 1.5% required middle turbinate surgery, and 0.34% required polypectomy. Of the 81 patients with concomitant procedures, 1 had postoperative epistaxis, and 1 had an asymptomatic septal adhesion. The anatomical and functional success rates for the entire cohort were 95.6% and 87.8%, respectively.
  
  
  CONCLUSIONS
  A significant proportion of patients undergoing endoscopic dacryocystorhinostomy may require concomitant endonasal procedures. Hence, endonasal lacrimal surgeons using techniques that aim to marsupialize the entire lacrimal sac may benefit from expertize in the management of concomitant nasal pathologic study.
authors.affiliation: *Department of Ophthalmology, Oculoplastic Unit, Prince of Wales Hospital, Randwick, North South Wales, Australia; †Corneoplastic Unit, Queen Victoria Hospital NHS Trust, East Grinstead, West Sussex, United Kingdom; and ‡South Australian Institute of Ophthalmology and Discipline of Ophthalmology and Visual Sciences, University of Adelaide, South Australia.
authors.forename: Edwin
authors.initials: E
authors.lastname: Figueira
authors.forename: Zaid
authors.initials: Z
authors.lastname: Al Abbadi
authors.forename: Raman
authors.initials: R
authors.lastname: Malhotra
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Wilcsek
authors.forename: Dinesh
authors.initials: D
authors.lastname: Selva
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; D009668:Nose Diseases / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult