Transcanalicular revision surgery for failed dacryocystorhinostomy

ÖZSÜTÇÜ M., YENİGÜN A., Meric A., Ozucer B., Dogan R., Gulkilik G., ...More

Clinica Terapeutica, vol.164, no.6 SUPPL, 2014 (Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 164 Issue: 6 SUPPL
  • Publication Date: 2014
  • Doi Number: 10.7417/ct.2013.1641
  • Journal Name: Clinica Terapeutica
  • Journal Indexes: Scopus
  • Keywords: epiphora, diode laser, recurrent dacryostenosis, revision dacryocystorhinostomy
  • Istanbul Medipol University Affiliated: Yes


Aim: To evaluate the effectiveness of transcanalicular multi diode laser in revision dacryocystorhinostomy and to determine the outcomes. Materials and Methods: Fifty-three consecutive patients (19 males, 44 females) who were referred for recurrent dacryostenosis with epiphora after a failed primary dacryocystorhinostomy (DCR) operation were included in the study. Patients were assigned to two separate groups on the basis of primary DCR operation: either endonasal dacryocystorhinostomy (END-DCR) or transcanalicular multi diode laser dacryocystorhinostomy (TC-MDL DCR). TC-MDL DCR technique was used for revision surgeries in both groups. The mean age of the patients was 46.5 ± 13.1 (Range, 15 -71) and the average follow-up duration was 12 months. Results: The success rate was 62% (18/29) in the primarily TC-MDL DCR operated group, and 85.2% (29/34) in the primarily END-DCR operated group respectively. The occlusion of internal ostium with granulation tissue was the leading etiology of unsuccessful surgical outcome in both group 1 and group 2 (42.8% and 28.5% respectively). Conclusions: TC-MDL DCR is a minimally invasive surgical method with relatively high success and low complication rates in patients with failed primary DCR requiring revision. © Società Editrice Universo (SEU).