Volume 12, Number 2 (Scientific Journal of Hamadan University of Medical Sciences-Summer 2005)                   Sci J Hamadan Univ Med Sci 2005, 12(2): 17-21 | Back to browse issues page


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Samavati M, Farahani F, Mani Kashani K. Comparison of Results and Complications of External D.C.R with Endoscopic D.C.R in Primary Nasolacrimal Duct Obstruction. Sci J Hamadan Univ Med Sci . 2005; 12 (2) :17-21
URL: http://sjh.umsha.ac.ir/article-1-542-en.html

, samavati@umsha.ac.ir
Abstract:   (526 Views)

Introduction & Objective: Epiphora is one of the most common problems in the primary adult nasolacrimal duct obstruction (PANDO) . The surgical treatment of epiphora is dacryocystorhinostomy(DCR) which is performed in two methods : External and Endonasal.

Materials & Methods : In this prospective randomized clinical trial study, results and complications of these two methods were compared in Emam Khomeiny Hospital of Hamadan University of Medical Sciences during 2001-2002 . Total cases of PANDO were 50 which was divided in two groups randomly. After surgery all patients were followed for 6 to 12 months .

Results : In 92% of both groups, epiphora were resolved clinlcally, but in 16% of external and 8% of endonasal groups obstruction was seen in irrigation test (P>0.05). In the first week after surgery, all patients of endonasal group and 76% of external group were pain free. Nasal discharge in endoscopic group was significantly higher than external group.

Conclusion: In conclusion although the results of these two methods were similar, external DCR remains the procedure of choice in treatment of NLD obstruction.

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Type of Study: Original | Subject: Special

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