A new approach to endoscopic DCR.

AIM To compare a composite technique of endoscopic dacrocystorhinostomy with the conventional technique. METHODS A randomised prospective study was carried in the department of Otolaryngology Maulana Azad Medical College. Thirty patient selected for Endoscopic DCR were divided into two groups, one of which underwent conventional endoscopic DCR and the other group were treated with a newer technique using cautery, cold instrumentation and laser at different steps of endoscopic DCR. The patients were followed up for nine months. RESULTS/CONCLUSION By using cautery, cold instrumentation and laser at different steps of endoscopic DCR we were able to achieve a success rate of around 94% with this composite technique as compared to 83.3% in conventional endoscopic DCR surgery.