DOI: 10.36347/sjams.2018.v06i10.039

Pages: 3886-3889

External dacryocystorhinostomy (DCR) was the choice of surgery in cases of epiphora due to nasolacrimal duct obstruction (NLDO) over a decade. Since 1970,’s Endoscopic endonasal dacryocystorhinostomy gaining popularity due to fewer complications and ease of doing surgery. To find out the outcome of external and endoscopic DCR in patients presented with nasolacrimal duct obstruction. A descriptive follow up study was conducted in MGM Medical College and LSK Hospital, Kishanganj, Bihar compared the outcome of External DCR with Endonasal DCR. Total number 80 patients were selected in our study with NLD block with a follow up six months. Equal number of patients distribution was done in both external (40 cases) and endonasal (40 cases) approaches to make comparison easier. Outcome of external and endonasal dacryocystorhinostomy (DCR) were compared in terms of success (External 88% versus Endonasal 90%) that is, no signs of postoperative epiphora and failure (External 12% versus Endonasal10%) that is, no improvement of watering at the end of 6 months follow up period. Follow up was done for a minimum of 6 months. In terms of success rate, endonasal and conventional external dacryocystorhinostomy are comparable. Endonasal dacryocystorhinostomy is gaining popularity because of patient’s satisfaction and also because of fewer complications.