Dacryo Cysto Rhinostomy with Intubation: Anterior Flap Versus Flap Excision. A Comparative Study

Authors

  • Mariya Nazish Memon
  • Sajida Parveen Sheikh
  • Waheed Ahmed Sheikh
  • Farah Naz Memon
  • Ashok Kumar Narsani

Abstract

Objective: To assess the efficacy of dacryocystorhinostomy with intubation, with and without anterior flap suturing in patients with chronic dacryocystitis secondary to the nasolacrimal duct obstruction.

Methodology: Comparative cross-sectional study was carried out at Institute of Ophthalmology, Liaquat University of Medical & Health Sciences Jamshoro. All the patients underwent external dacryocystorhinostomy during July 2016 to June 2019 were included by convenient sampling technique. Patient’s data were allocated into two groups. Group A (Anterior flap anastomosis) and group B (flap excision). Success rate of surgery was assessed at 3 months and 6 months follow up visits.

Data were analysed by SPSS 23, frequencies and percentages for categorical variables and mean and averages for numerical variables were calculated, x2 (chi- square) applied on surgical outcome comparing two techniques. P-value< 0r = 0.05 was considered as significant.

Results: Fifty-seven patients (57 eyes) were included in this study. Thirty-four eyes in Group A (anterior flap suturing) and 23 eyes in Group B (flap excision). Mean age of the patient in Group A was 42.50 years±11.88 and in Group B was 42.10 years±16.78 (P-0.923). Most of the operated patients were females such as 55.9% and 69.6% in Group A and B respectively (P-0.298).

 The overall success outcome of DCR with silicon tube intubation was 93%. Thirty-one eyes (91.2%) in Group A and 22 eyes (95.7%) in Group B were labelled as successful (P–0.641).

Conclusion: Excision of mucosal flap is effective and comparatively easier. It shortens the procedure time and decrease hazards of general anaesthesia.

 Key Words: Chronic Dacryocystitis, dacryocystorhinostomy, Epiphora, Flap anastomosis, Flap excision.

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Published

2021-07-02

How to Cite

1.
Memon MN, Sheikh SP, Sheikh WA, Memon FN, Narsani AK. Dacryo Cysto Rhinostomy with Intubation: Anterior Flap Versus Flap Excision. A Comparative Study. J Liaq Uni Med Health Sci [Internet]. 2021 Jul. 2 [cited 2024 May 4];20(02):104-8. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/683

Issue

Vol. 20 No. 02 (2021): Journal of Liaquat University of Medical & Health Sciences

Section

Original Articles

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