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Use Of Laser For Dacrocystorhinostomy
Use of laser for dacrocystorhinostomy.
Author: Ajalloueyan M , Fartookzadeh M , Parhizgar H
Source: Arch Otolaryngol Head Neck Surg, 133(4): 340-3 2007
Summary of Research:
The objective of the study:
To compare outcomes between conventional external dacrocystorhinostomy (ext DCR) and endonasal laser-assisted DCR (ELADCR).
How the researchers designed the study:
Prospective randomized trial. PATIENTS: The study included 210 consecutive patients (244 eyes) referred to hospital eye and ear, nose, and throat clinics.
How the researchers measured the outcome:
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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 & Conclusion:
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.
The researchers concluded:
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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