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Type: Journal article
Title: The frequency of concomitant adjunctive nasal procedures in powered endoscopic dacryocystorhinostomy
Author: Ali, M.
Psaltis, A.
Wormald, P.
Citation: Orbit, 2015; 34(3):142-145
Publisher: Informa Healthcare
Issue Date: 2015
ISSN: 0167-6830
Statement of
Mohammad Javed Ali, Alkis James Psaltis and Peter John Wormald
Abstract: Purpose: To assess the frequency of concomitant adjunctive nasal procedures performed in powered endoscopic dacryocystorhinostomy (DCR). Methods: Retrospective review of 269 consecutive powered endoscopic DCR’s performed in 202 patients over a period of 10 years from 2003 to 2013. Patient records were reviewed for demographic data, clinical profiles and surgical notes. Concomitant adjunctive procedures were studied with relation to number of patients, indications, types of procedures (septoplasty, middle turbinoplasty and functional endoscopic sinus surgery or FESS) and complications. Results: 269 powered endoscopic DCR’s were performed on 202 patients. The mean age at surgery was 58.4 years (range 20–91 years). Adjunctive nasal procedures were performed in 53.4% (108/202) of the patients. 47% (95/202) required a septoplasty. Among the 95 septoplasty patients, 85 required solo septoplasty and 10 had additional sinus procedure. Middle turbinoplasty was performed in 5.9% (12/202) and septal papilloma excision was performed in 0.49% (1/202). No additional morbidity was noticed with adjunctive procedures. Successful outcomes of DCR were achieved in 96.5% of patients. Conclusion: Simultaneous adjunctive nasal procedures were commonly required with powered endoscopic DCR. Septoplasty and middle turbinoplasty when performed as needed, provides an additional access to lacrimal region and may facilitate successful outcomes.
Keywords: Endoscopic DCR; FESS; middle turbinoplasty; septoplasty
Rights: © 2015 Informa Healthcare USA, Inc.
RMID: 0030031237
DOI: 10.3109/01676830.2015.1014509
Appears in Collections:Medicine publications

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