Endoscopic dacrocystorhinostomy in Kirkuk output and results

Abstract

Epiphora  and nasolacrimal  duct  obstruction  is acommon  problem  and endoscopic DCR is the treatment  of choice and  it has the advantages    that  there  is no   external  scar with good results and minimal    complications.

The  aim  of this  study  to see the  results  of EDCR  in Kirkuk  and  out come   it is retrospective  descriptive  study otolaryngological  department   in      Kirkuk general hospital from 2010 to 2012s.

A total   number    of 60 EDCR   done  in Kirkuk   general   hospital   from   February    2010

to January    2012  .Age  of patients   was  from  3 to 60 years   ,40 patients   were  female  and  20 were male,all of them complaining  of epiphora  and some of them presented  in addition  to epiphora  with  abcess  and  mucocele.40  of them  had  unilateral   eye involvement  while  20 patient  had symtoms bilaterally.  All cases are diagnosed  as nasolacrimal  duct  obstruction and confirmed  by an ophthalmologist   and then  sent to us, All of them  underwent  EDCR with  stent  insertion.folow   up  of  patients   in  our   study  was  two  years.  The  operative techniques  descriped  in details , 48 patients   had complete  disappearance   of symptoms  so success  rate  in  our  study  was  80%,while   12 patients   had  recurrence   of  symptoms,so failure rate was 20%,4  patients  underwent  revision surgery  with good results while others refused  to do surgery   again.the  most  common  complication  was  adhesion  of the  nasal mucosa   at  the  site  of  surgery,15   case  develoed  this  complication,while   10  cases  had extrution  of the  stent  specially  in children,which   fortunately   didn’t  affect  the  result  of surgery,in  conclusion

EDCR  is avalid  surgey  for  correction  of nasolacrimal  duct  obstruction   with good out come and no scar