Endoscopic dacryocystorhinostomy - a case series of 6 years
DOI:
https://doi.org/10.34631/sporl.2057Keywords:
Endoscopic dacryocystorhinostomy, Epiphora, Dacryocystitis, Sucess rateAbstract
Objectives: evaluate the surgical effectiveness of endoscopic dacryocystorhinostomy (eDCR) and determine predictive factors of clinical and surgical success.Study Design: retrospective descriptive study.
Materials and Methods: review of clinical records of patients undergoing eDCR in a tertiary center between 2017 and 2022, and statistical analysis.
Results: a total of 90 procedures were performed in 82 patients, including 17 revisions, with an overall clinical success rate of 89%. Exposure of the agger nasi (p=.018) and removal of the mucoperiosteal flap (p=.005) were statistically significant factors associated with higher clinical success. Revision surgery, history of dacryocystitis, silicone tube placement, and wide frontal maxillary apophysis osteotomy hadn’t reach statistical significancy in surgical success (p>.05).
Conclusion: the authors emphasize the importance of removing the mucoperiosteal flap and opening the agger nasi, favoring the marsupialization of the lacrimal sac in the lateral wall, for surgical success.
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