A comparative study of endoscopic dacryocystorhinostomy with and without siliconestent

Objectives: Neo-ostium closure was considered major factor for surgical failure in endoscopic dacryocystorhinostomy. To overcome this problem many measure like use of mitomycin-C, mucosal flap and silicone stents are used. Present study done to compare long term results in endoscopic dacryocystorhinostomy (DCR) with and without silicone stents Study Design: Randomized control study Methodology: The present study was carried out in the department of Otorhinolaryngology and head and neck surgery in SMS Medical College and Hospital, Jaipur during the period Jun2013-Nov2014 for duration of 18months. Total 30 patients selected as control and 30 patients in which stents placed. Results: Out of the 60 patients, 30 patients in which DCR was done without stent (group A) and 30 underwent silicon stent placement (group B). Out of 30 patients of group A, 27 (90%) showed complete recovery of symptoms. Out of 30 patients of group B 29(96.67%) showed complete recovery of symptoms at three months follow up. Patients with stent placements showed a slightly higher rate of success as compared to patients without stenting (90%/96.67%). Interpretation and conclusion: No statistical significant difference found ((p=0.605) between both the groups, so we preclude routine use of stents.

Author: 
Rashmi Yadav, Dinesh Kumar Yadav, Beni Prasad Rekha and Harshvardan
Journal Name: 
Int J Biol Med Res.
Volume No: 
04
Issue No: 
03
Year: 
2017
Paper Number: 
1851
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