COMPARATIVE STUDY: ENDOSCOPIC DACROCYSTORHINOSTOMY WITH AND WITHOUT STENT
Volume 13 , Issue 4 , July 2025 , Pages 349-357
Authors
1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
10.17656/jsmc.10429
Keywords
Abstract
Background
Dacryocystorhinostomy (DCR) is a commonly performed operation in which a fi stulous tract is created
between the lacrimal sac and the nasal cavity.
Objective
To evaluate the necessity for silicone tube insertion following endonasal endoscopic dacryocystorhinostomy
( EDCR)
Patient and Methods
A prospective interventional comparative study was carried out in the Center of Otorhinolaryngology, Head
and Neck Surgery/Al-Sulaymaniyah Teaching Hospital from March 2021 to April 2022. Twenty-two patients
(25 eyes) with epiphora were included; an ophthalmologist referred them after diagnosing the cause and site of
obstruction of the nasolacrimal duct, 86.4 % of which were female and remaining 13.6 % were male, with ages
ranging from 15 to 61. They were randomly assigned to two groups: GroupA 11 patients (12 eyes) underwent
EDCR with silicone stent, while GroupB 11 patients (13 eyes) had EDCR without stent. The patients were
evaluated in terms of symptom relief and neo-ostium patency.
Results
In the current study, the success rate was (100%) for both groups, with no failures. Additionally, a stent
has been associated with granulation tissue formation and patient discomfort. There were no statistically
signifi cant differences between the two groups.
Conclusion
Routine nasolacrimal intubation in DCR is unnecessary due to the additional cost and associated complications.
Good exposure and marsupialization of the lacrimal sac and regular follow-up are required for a better
postoperative outcome and the avoidance of complications.
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- First online26 July 2025
- Published at26 July 2025
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