91640

Powered versus non-powered endoscopic dacryocystorhinostomy in the treatment of nasolacrimal duct obstruction

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Last updated: 04 Jan 2025

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Abstract

Background: Nasolacrimal duct obstruction is a common cause of epiphora and purulent eye discharge which may need a surgical intervention in the form of dacryocystorhinostomy (DCR). External DCR was replaced by endoscopic DCR because of more precision, less trauma and less complications. A lot of techniques of endoscopic DCR were tried. Objective: A comparison between non-powered technique (using a Kerrison's punch only) and powered technique (using a drill) as regard intra- and post-operative parameters. Patients and methods: Forty patients with nasolacrimal duct obstruction were included in this study and divided into two equal groups: Group A who underwent powered DCR & Group B who underwent non-powered DCR at Al-Hussein University Hospital from July 2016 to August 2019. The data of certain intra- and post-operative parameters were collected and statistically analyzed. Results: Group A (powered) showed a statistically significantly higher mean time of bony work (30.3±6.9) than Group B (non-powered) (17.2±3.4), Effect size was 2.408. There was no statistically significant difference between successes in the two groups. The success rate was higher in Group A (powered- 90% than Group B (non-powered - 85%. There was no statistically significant difference between both groups as regard demographic data and minor complications. Conclusion: Despite the nearly equal outcome of both techniques, non-powered DCR was safe, effective, affordable and took less time than powered technique.

DOI

10.21608/amj.2020.91640

Keywords

epiphora, dacryocystorhinostomy, nasolacrimal, powered, non-powered

Authors

First Name

Mohammed

Last Name

Ahmed El-Sharkawy

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Affiliation

Departments of Otorhinolaryngology and Ophthalmology*, Faculty of Medicine, Al-Azhar University (Cairo)

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First Name

Ahmed

Last Name

Mahmoud Amin

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Affiliation

Departments of Otorhinolaryngology and Ophthalmology*, Faculty of Medicine, Al-Azhar University (Cairo)

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Volume

49

Article Issue

3

Related Issue

11363

Issue Date

2020-07-01

Receive Date

2020-05-23

Publish Date

2020-07-01

Page Start

1,209

Page End

1,220

Print ISSN

1110-0400

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https://amj.journals.ekb.eg/article_91640.html

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https://amj.journals.ekb.eg/service?article_code=91640

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33

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Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

Powered versus non-powered endoscopic dacryocystorhinostomy in the treatment of nasolacrimal duct obstruction

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Article

Created At

22 Jan 2023