title: Endoscopic laser-assisted dacryocistorhinostomy DCR with the placement of a customised silicone and Teflon bicanalicular stent Endoscopic laser-assisted dacryocystorhinostomy (DCR).
abstract: BACKGROUND
  We present our experience in endoscopic laser assisted dacryocystorhinostomy (DCR) analyzing the results obtained with a new technique that involves placing bicanalicolar silicone stent more Teflon tube, in combination with paraseptal silastic sheet.
  
  
  METHODS
  In our study 49 of 57 patients (85%) at a mean follow up of at least 12 months have not reported epiphora or more episodes of acute dacryocystitis.
  
  
  RESULTS
  49 out of the 57 patients (85%) in our group reported no additional epiphora or episodes of acute dacryocystitis.
  
  
  CONCLUSIONS
  Endoscopic DCR is currently the gold standard for sac and post-sac stenosis given the minimal invasiveness of the procedure and the long-term results that appear comparable to those obtained with extrinsic DCR. The principal problem is cicatricial stenosis that can occlude the stoma over time.
authors.affiliation: Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
authors.forename: A
authors.initials: A
authors.lastname: D'Ecclesia
authors.affiliation: Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
authors.forename: R F
authors.initials: RF
authors.lastname: Cocchi
authors.affiliation: Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
authors.forename: F
authors.initials: F
authors.lastname: Giordano
authors.affiliation: Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
authors.forename: E
authors.initials: E
authors.lastname: Mazzilli
authors.affiliation: Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
authors.forename: C
authors.initials: C
authors.lastname: Longo
authors.affiliation: Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.
authors.forename: A
authors.initials: A
authors.lastname: Laborante
mesh_terms: D003607:Dacryocystitis / Q000601:surgery*; D003608:Dacryocystorhinostomy / Q000379:methods*; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D011138:Polytetrafluoroethylene; D012828:Silicones; D015607:Stents
chemical_list: D012828:Silicones; D011138:Polytetrafluoroethylene
keywords: Dacryocystitis; Dacryocystorhinostomy; Silicone and Teflon bicanalicular stent