International Journal of Head and Neck Surgery

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VOLUME 3 , ISSUE 3 ( September-December, 2012 ) > List of Articles

RESEARCH ARTICLE

Endonasal Dacryocystorhinostomy done with and without Silicon Tube Stents: A Comparative Case Series Analysis Study

Sudhir Naik, Sarika S Naik, S Ravishankara, Mohan K Appaji, MK Goutham, Nonthombam Pinky Devi, Annapurna S Mushannavar

Citation Information : Naik S, Naik SS, Ravishankara S, Appaji MK, Goutham M, Devi NP, Mushannavar AS. Endonasal Dacryocystorhinostomy done with and without Silicon Tube Stents: A Comparative Case Series Analysis Study. Int J Head Neck Surg 2012; 3 (3):147-153.

DOI: 10.5005/jp-journals-10001-1116

Published Online: 00-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background/objectives

Neo-ostium cicatrization and closure is considered a major factor for surgical failure in endoscopic dacryocystorhinostomy (EnDCR). Wide neo-ostium, mucosal flaps, sac marsupialization with primary healing and silicone tube stent improves surgical outcomes of EnDCR.

Materials and methods

EnDCR were done in 238 patients. Group A included 172 patients where no stents were used and group B included 66 patients where silicon tube stents were used. All the surgeries were done under general anesthesia.

Results

In our study, 89.53% success in syringing patency was seen in group A, 89.39% success in syringing patency was seen in group B at 6 months of follow-up. No significant difference in success rate were seen in the two study groups.

Conclusion

No significant difference in EnDCR success rates were seen with the use of stents in our study. So stenting probing and dilatation are not advocated routinely in all cases and a wide neo-ostium with mucosal flaps and primary healing is the secret to success.

How to cite this article

Naik SM, Mushannavar AS, Ravishankara S, Appaji MK, Goutham MK, Devi NP, Naik SS. Endonasal Dacryocystorhinostomy done with and without Silicon Tube Stents: A Comparative Case Series Analysis Study. Int J Head Neck Surg 2012;3(3):147-153.


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