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A STUDY OF ENDONASAL ENDOSCOPIC DACRYOCYSTORHINOSTOMY BY CONVENTIONAL VERSUS MODIFIED MUCOSAL FLAP TECHNIQUE: A RANDOMIZED CONTROLLED STUDY

Introduction: Modified dacryocystorhinostomy with mucosal flap is a newer technique, it involves creation of large rhinostomy and preservation of nasal and lacrimal sac mucosa, which increases the success rate of this procedure. Objective: To compare the result of endonasal endoscopic dacryocystorhinostomy done by conventional method versus modified mucosal flap technique in chronic dacryocystitis patients. Methods: 96 cases of chronic dacryocystitis of either sex, and age group 20 to 60 years with nasolacrimal duct obstruction diagnosed by syringing were enrolled in this study between November 2014 to October 2016. Group-A patients underwent conventional dacryocystorhinostomy and Group-B patients underwent modified dacryocystorhinostomy with mucosal flap technique. The post operative follow up was done upto 6 month to assess lacrimal patency using syringing. Results: Success rate was determined by symptomatic relief of epiphora and patency at syringing at the end of 6 month. Success rate of conventional dacryocystorhinostomy was found to be 75% and modified dacryocystorhinostomy with mucosal flap technique was 93.75% (p value 0.011). Conclusion: Success rate of mucosal flap technique was better and found statistically significant.



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Keywords: Dacryocystitis, Nasolacrimal duct, Dacryocystorhinostomy

ISSN: 0974-5262

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EOI/DOI: 10.21176/ojolhns.2018.12.1.4


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