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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Dacryocystorhinostomy
Solid-State Lasers
Lasers
Nasolacrimal Duct
Endoscopy
Lacrimal Apparatus Diseases
Nose
Tertiary Care Centers
Retrospective Studies
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

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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.",
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Endoscopic dacryocystorhinostomy vs KTP 532 laser-assisted endoscopic dacryocystorhinostomy. / Nayak, D. R.; Hazarika, P.; Rodrigues, R. A W; Pillai, S.; Balakrishnan, R.

In: Indian Journal of Otolaryngology and Head and Neck Surgery, Vol. 57, No. 4, 01.10.2005, p. 278-282.

Research output: Contribution to journalArticle

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T1 - Endoscopic dacryocystorhinostomy vs KTP 532 laser-assisted endoscopic dacryocystorhinostomy

AU - Nayak, D. R.

AU - Hazarika, P.

AU - Rodrigues, R. A W

AU - Pillai, S.

AU - Balakrishnan, R.

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N2 - 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.

AB - 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.

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