Endoscopic dacryocystorhinostomy vs KTP 532 laser-assisted endoscopic dacryocystorhinostomy

Advances in endoscopy and lasers have improved surgical management of chronic nasolacrimal duct obstruction. This is a preliminary comparison between standard and laser assisted endoscopic dacryocystorhinostomy (DCR). Combined retrospective and prospective study. Tertiary referral hospital. Thirty-e...

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Bibliographic Details
Published in:Indian Journal of Otolaryngology and Head and Neck Surgery 2005-10, Vol.57 (4), p.278-282
Main Authors: Nayak, D R, Hazarika, P, Rodrigues, R A W, Pillai, S, Balakrishnan, R
Format: Article
Language:English
Subjects:
Care and treatment
Comparative analysis
Dacryocystitis
Dacryocystorhinostomy
Laser endoscopy
Main
Methods
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Summary:Advances in endoscopy and lasers have improved surgical management of chronic nasolacrimal duct obstruction. This is a preliminary comparison between standard and laser assisted endoscopic dacryocystorhinostomy (DCR). Combined retrospective and prospective study. Tertiary referral hospital. Thirty-eight cases of chronic nasolacrimal duct obstruction underwent endoscopic DCR (26 standard and 12, laser-assisted) and were assessed at 3 and at 6 months postoperatively by nasal endoscopy. Three months postoperatively (n=38), total relief of epiphora among the nonlaser group was 80.76 vs 75% in the laser group (P=0.982). At 6 months (n=19), the laser group had recorded 100% symptomatic relief compared to 85.71% in the nonlaser group (P=0.964). The laser group suffered fewer complications (33.33 vs 46.15% for nonlaser group). Lasers show promise in long-term management of duct obstruction and are associated with fewer complications. A larger study is required before and generalization is made.
ISSN:2231-3796
0019-5421
0973-7707
DOI:10.1007/BF02907686