Endoscopic dacryocystorhinostomy vs KTP 532 laser-assisted endoscopic dacryocystorhinostomy

D. R. Nayak, P. Hazarika, R. A W Rodrigues, S. Pillai, R. Balakrishnan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: 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). Study Design: Combined retrospective and prospective study. Setting: Tertiary referral hospital. Patients and Methods: 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. Results: 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). Conclusion: Lasers show promise in long-term management of duct obstruction and are associated with fewer complications. A larger study is required before any generalization is made.

Original languageEnglish
Pages (from-to)278-282
Number of pages5
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
Volume57
Issue number4
Publication statusPublished - 01-10-2005

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All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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