Use of Laser for Dacrocystorhinostomy | External Eye Disease | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network
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Original Article
April 2007

Use of Laser for Dacrocystorhinostomy

Author Affiliations

Author Affiliations: Departments of Otolaryngology–Head and Neck Surgery (Dr Ajalloueyan) and Ophthalmology (Drs Fartookzadeh and Parhizgar), Baqiyatallah Medical Sciences University, Tehran, Iran.

Arch Otolaryngol Head Neck Surg. 2007;133(4):340-343. doi:10.1001/archotol.133.4.340
Abstract

Objective  To compare outcomes between conventional external dacrocystorhinostomy (ext DCR) and endonasal laser-assisted DCR (ELADCR).

Design  Prospective randomized trial.

Patients  The study included 210 consecutive patients (244 eyes) referred to hospital eye and ear, nose, and throat clinics.

Main Outcome Measures  Success rates and complications of ext DCR and ELADCR were compared after lacrimal ducts requiring DCR were randomly chosen and divided into 2 groups (ext DCR and ELADCR).

Results  The success rate was statistically equal in both groups (92.4% for ext DCR and 94.2% for ELADCR); however, morbidity (eg, intraoperative hemorrhage and wound scar) and operation time were less in the ELADCR group.

Conclusion  Preoperative patient consultation for selection of the surgical modality may help select the procedure of choice for each patient with regard to aesthetics, anesthesia, operation time, and costs.

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