Abstract
CONCLUSION: Most DCR surgeries can be performed under LA without sedation. Success rates found in our study are comparable with previous publications, similar for external or endoscopic approaches, and better under GA than LA. This difference may be related to the age difference between the two groups.
INTRODUCTION: Dacryocystorhinostomy (DCR) is performed using an external or endoscopic endonasal approach under general anesthesia (GA) or under sedation. In our department these operations are performed mainly under local anesthesia (LA) without sedation.
PURPOSE: To examine the intraoperative and postoperative success rates of primary DCR under LA and GA using the external or endonasal approach.
METHODS: The study group of this retrospective research included all patients who underwent a primary DCR in our department in 2009-2012 due to an acquired nasolacrimal duct obstruction. The main outcome measure was postoperative success defined as complete or significant improvement in tearing and a patent ostium. Intraoperative success rate was defined as the ability to complete the operation under LA.
RESULTS: The study group included 139 patients. The success rate was 87.1% (121 patients). Success rates were similar for the external and endoscopic approaches (88.6% vs. 82.4%, respectively, p = 0.348). The success rate for surgeries performed under GA was higher than LA (96.7% vs. 84.9%, respectively, p = 0.019). The mean age of patients who were operated under GA was significantly younger than those under LA (43.6 vs. 65.7 years, respectively, p < 0.005). Conversion GA was only needed in 1 patient (0.7%).
Original language | English |
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Pages (from-to) | 110-3, 136, 135 |
Journal | Harefuah |
Volume | 154 |
Issue number | 2 |
State | Published - 1 Feb 2015 |