Endoscopic endonasal dacryocystorhinostomy: experience in a rural turtiary care hospital

Objective: To study the outcome of endoscopic endonasal dacryocystorhinostomy in our hospital.Methods: Design: Prospective Study Setting: Tertiary rural government teaching hospital Participants: 40 patients with chronic dacryocyctitis with nasolacrymal duct obstruction over a period of 2 years from January, 2010 to December, 2012 who attended in ENT outpatient department of Burdwan Medical College & Hospital were included in this study. Results: Females are more affected than male. After 6 months, 5 patients (12.5%) presented with complete stenosis, 3 patients (7.5%) presented with partial stenosis of stoma and in 32 patients (80%) sac stoma was completely patent. Complications include bleeding, postoperative cellulitis of the lower eye lid, granulation tissue around the stoma, synechia inside nasal cavity and stenosis of the stoma etc. Conclusion: Endoscopic dacryocystorhinostomy is the preferred treatment in Chronic dacryosystitis with nasolacrymal duct obstruction. There are so many advantages of endoscopic dacryocystorhinostomy over the external dacryocystorhinostomy. Regular follow-up is necessary in the post operative period.