Surgical results of transcaruncular dacryocystorhinostomy
Purpose: The objective of the study is to evaluate the effectiveness of the transcaruncular approach of dacryocystorhinostomy (DCR) in the management of the cases of chronic dacryocystitis. Materials and Methods: A prospective study was conducted on 30 patients presenting in the outpatient departmen...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
| Series: | Journal of Clinical Ophthalmology and Research |
| Subjects: | |
| Online Access: | http://www.jcor.in/article.asp?issn=2320-3897;year=2019;volume=7;issue=3;spage=105;epage=109;aulast=Garg |
| _version_ | 1818610305919352832 |
|---|---|
| author | Mukesh Garg Yashi Bansal Gaganpreet Singh |
| author_facet | Mukesh Garg Yashi Bansal Gaganpreet Singh |
| author_sort | Mukesh Garg |
| collection | DOAJ |
| description | Purpose: The objective of the study is to evaluate the effectiveness of the transcaruncular approach of dacryocystorhinostomy (DCR) in the management of the cases of chronic dacryocystitis. Materials and Methods: A prospective study was conducted on 30 patients presenting in the outpatient department with chronic dacryocystitis at a tertiary eye care center. Intraoperative parameters were observed and noted at the time of surgery. Patients were followed up for a minimum period of 6 weeks and interviewed for subjective improvement of symptoms. Outcome measures were anatomical patency, epiphora, esthetic outcome, and presence of any complications. Results: Thirty patients of chronic dacryocystitis with nasolacrimal duct obstruction comprising 22 females and 8 males with a mean age of 43.8 years were operated by transcaruncular modification of external DCR. The surgical success rate of 90% was achieved after a follow-up period of 6 weeks. Postoperative complications included periorbital edema, mild nasal bleeding, and section leak which resolved by day 7 postoperatively. The procedure was associated with minimal intraoperative complications. One patient (3%) had significant intraoperative bleeding, and two patients (7%) had canalicular injury and both the patients were managed with canalicular intubation. Conclusions: Transcaruncular DCR is a cost-effective and esthetic approach not requiring the use of any endoscope or lasers and provides the benefits of external approach without a skin incision. It is associated with minimal intraoperative and postoperative complications. The surgical success rate of the procedure is comparable to the other conventional methods of DCR. |
| first_indexed | 2024-12-16T15:12:20Z |
| format | Article |
| id | doaj.art-c8dd1bd728044e1c8a3c4e13acf71851 |
| institution | Directory Open Access Journal |
| issn | 2320-3897 |
| language | English |
| last_indexed | 2024-12-16T15:12:20Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical Ophthalmology and Research |
| spelling | doaj.art-c8dd1bd728044e1c8a3c4e13acf718512022-12-21T22:26:55ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972019-01-017310510910.4103/jcor.jcor_61_18Surgical results of transcaruncular dacryocystorhinostomyMukesh GargYashi BansalGaganpreet SinghPurpose: The objective of the study is to evaluate the effectiveness of the transcaruncular approach of dacryocystorhinostomy (DCR) in the management of the cases of chronic dacryocystitis. Materials and Methods: A prospective study was conducted on 30 patients presenting in the outpatient department with chronic dacryocystitis at a tertiary eye care center. Intraoperative parameters were observed and noted at the time of surgery. Patients were followed up for a minimum period of 6 weeks and interviewed for subjective improvement of symptoms. Outcome measures were anatomical patency, epiphora, esthetic outcome, and presence of any complications. Results: Thirty patients of chronic dacryocystitis with nasolacrimal duct obstruction comprising 22 females and 8 males with a mean age of 43.8 years were operated by transcaruncular modification of external DCR. The surgical success rate of 90% was achieved after a follow-up period of 6 weeks. Postoperative complications included periorbital edema, mild nasal bleeding, and section leak which resolved by day 7 postoperatively. The procedure was associated with minimal intraoperative complications. One patient (3%) had significant intraoperative bleeding, and two patients (7%) had canalicular injury and both the patients were managed with canalicular intubation. Conclusions: Transcaruncular DCR is a cost-effective and esthetic approach not requiring the use of any endoscope or lasers and provides the benefits of external approach without a skin incision. It is associated with minimal intraoperative and postoperative complications. The surgical success rate of the procedure is comparable to the other conventional methods of DCR.http://www.jcor.in/article.asp?issn=2320-3897;year=2019;volume=7;issue=3;spage=105;epage=109;aulast=Gargdacryocystitisdacryocystorhinostomynasolacrimalsyringingtranscaruncular |
| spellingShingle | Mukesh Garg Yashi Bansal Gaganpreet Singh Surgical results of transcaruncular dacryocystorhinostomy Journal of Clinical Ophthalmology and Research dacryocystitis dacryocystorhinostomy nasolacrimal syringing transcaruncular |
| title | Surgical results of transcaruncular dacryocystorhinostomy |
| title_full | Surgical results of transcaruncular dacryocystorhinostomy |
| title_fullStr | Surgical results of transcaruncular dacryocystorhinostomy |
| title_full_unstemmed | Surgical results of transcaruncular dacryocystorhinostomy |
| title_short | Surgical results of transcaruncular dacryocystorhinostomy |
| title_sort | surgical results of transcaruncular dacryocystorhinostomy |
| topic | dacryocystitis dacryocystorhinostomy nasolacrimal syringing transcaruncular |
| url | http://www.jcor.in/article.asp?issn=2320-3897;year=2019;volume=7;issue=3;spage=105;epage=109;aulast=Garg |
| work_keys_str_mv | AT mukeshgarg surgicalresultsoftranscarunculardacryocystorhinostomy AT yashibansal surgicalresultsoftranscarunculardacryocystorhinostomy AT gaganpreetsingh surgicalresultsoftranscarunculardacryocystorhinostomy |