Endoscopic laser-assisted dacryocystorhinostomy

Purpose: This study evaluates the efficacy of endoscopic laser-assisted dacryocystorhinostomy (LADCR) in the treatment of epiphora and chronic dacryocystitis. Patients and Methods: Treatment results were prospectively reviewed for 17 patients undergoing 19 LADCR procedures of which 12 were primary a...

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Bibliographic Details
Published in:American journal of otolaryngology 1997-03, Vol.18 (2), p.107-111
Main Authors: Mickelson, Samuel A., Kim, Daniel K., Stein, Ira M.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Dacryocystitis - surgery
Dacryocystorhinostomy - methods
Endoscopy
Female
Humans
Intubation
Lacrimal Apparatus Diseases - surgery
Laser Therapy
Male
Medical sciences
Middle Aged
Prospective Studies
Reoperation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
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Summary:Purpose: This study evaluates the efficacy of endoscopic laser-assisted dacryocystorhinostomy (LADCR) in the treatment of epiphora and chronic dacryocystitis. Patients and Methods: Treatment results were prospectively reviewed for 17 patients undergoing 19 LADCR procedures of which 12 were primary and 7 were revision cases. Silastic intubation tubing was removed after surgery at a mean of 76.5 days in the primary cases and 184 days in the revision cases. Patients were followed-up for a mean of 15.6 months (range, 5 to 25 months). Results: LADCR was successful in 100% of primary cases and 60% of revision procedures. The only complications were 2 conjunctival fistula, which closed without sequela. Conclusion: The efficacy of primary LADCR is comparable to reported external approaches. The success of revision LADCR is less favorable, yet the number of cases reported here is too small to reach a conclusion.
ISSN:0196-0709
1532-818X
DOI:10.1016/S0196-0709(97)90097-1