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Arch Otolaryngol Head Neck Surg. 2007 Apr;133(4):340-3.

Use of laser for dacrocystorhinostomy.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, Baqiyatallah Medical Sciences University, Tehran, Iran. ajall@ajall.com

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.

PMID:
17438247
DOI:
10.1001/archotol.133.4.340
[Indexed for MEDLINE]
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