Armaghane Danesh Bimonthly Journal (Jul 2008)
Comparison between the Outcomes of External vs Endonasal Dacryocystorhinostomy in Shiraz Khalili Hospital
Abstract
Introduction & Objective: The nasolacrimal duct obstruction is a bothersome disorder that appears after acute or chronic inflammation, trauma, tumor, surgery or congenital disorders. The early treatment is irrigation or probing. If these methods were unsuccessful, dacryocystorhinostomy can be done .The purpose of this study was a comparison between the results of external vs endonasal dacryocystorhinostomy, which is done in shiraz university of medical sciences (Khalili hospital). Materials & Methods: In this prospective study 46 patients who suffered from primary nasolacrimal duct obstruction were operated by endonasal dacryocystorhinostomy in Khalili hospital during 2001 to 2005. The results were compared with external dacryocystorhinostomy as control group and analyzed by SPSS using chi-square test. Results: After 10-31 months (average 20 mo) 40 patients (87%) cured completely and 60 patients (92.3%) among 65 patients of control group cured completely. There was no statistically significant difference between these two methods. Conclusion: Endonasal dacryocystorhinostomy has more benefit in compare with external dacryocystorhinostomy because of less trauma, no skin incision and less complications after surgery.
