IP Journal of Otorhinolaryngology and Allied Science

Print ISSN: 2582-4147

Online ISSN: 2582-421X

CODEN : IJOABK

IP Journal of Otorhinolaryngology and Allied Science (JOAS) open access, peer-reviewed quarterly journal publishing since 2018 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...


A case report on the success of endoscopic dacryocystorhinostomy following unsuccessful external dacryocystorhinostomy in a patient with nasolacrimal duct obstruction.

  • Rajavarma Paquirissamy,  
  • Abinish Dyneese Geetha,*  
  • Aswin John,  
  • Kalaivani Sivakumar,  
  • Lokeshvaran Deivendran

Abstract

Endoscopic dacryocystorhinostomy (DCR) is a surgical remedy for nasolacrimal duct obstructions (NLDO), addressing symptoms like excessive tear secretion and swelling. This article presents an observational case report of a 60-year-old female with persistent tear secretion and a non-healing ulcer below the left medial canthus at the previously operated external DCR site, managed initially with antibiotics and secondarily with closure of the external wound. Endoscopic DCR was subsequently performed under local anesthesia, effectively resolving symptoms and facilitating recovery. Advantages of endoscopic over external DCR include no external scar, lower infection rates, and faster recovery. Imaging aids in precise anatomical assessment. The case underscores meticulous preoperative evaluation, surgical precision, and comprehensive postoperative care for optimal outcomes. In conclusion, endoscopic DCR proves pivotal in revising failed procedures, ensuring functional and aesthetic success in managing NLDO.


Keywords

dacryocystorhinostomy, lacrimal duct obstruction, endoscopy, endoscopic dacryocystorhinostomy, failed external dacryocystorhinostomy