Title: Endoscopic Dacryocystorhinostomy with and Without Silicone Stent: A Comparative Study
Authors: Dr Smitha.S.G, Dr Jagannath.B, Dr Shazia
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.91
Abstract
Objectives: To assess and compare the surgical outcome of Endoscopic Endonasal Dacryocystorhinostomy (DCR) with stent and without stent. Surgical success was evaluated both subjectively as well as objectively.
Materials and Methods: 60 adults aged 18-60 years, with chronic epiphora were included in a prospective comparative study and categorized randomly into 2 groups that is DCR with stent / Group A and DCR without stent/Group B.
Results: Surgical outcome result was similar in both the groups. Furthermore the use of stent was found to be associated with granulation tissue formation, patient discomfort and increased risk of complications.
Conclusion: DCR with stent is associated with persistent complications and discomfort. It is therefore recommend that endoscopic DCR without silicone stent as the treatment of choice in cases of chronic dacryocystitis.
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