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IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain


Prolene Suture- Optimizing results in DCR!


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Author Details: Tuli IP, Sengupta S, Pal S, Baruah B, Ilapakurty B, Jain A, Lepcha PS

Volume : 1

Issue : 1

Online ISSN : 2581-5229

Print ISSN : 2581-5210

Article First Page : 13

Article End Page : 18


Abstract

Background: Dacryocystorhinostomy (DCR) done to treat chronic dacryocystitis and nasolacrimal duct stenosis may fail due to post-operative granulation tissue and synechia that form around the neo-ostium. Success rates vary in different studies and we are reporting our success rates of a modified DCR by using Prolene thread as a stent.
Methods: We performed a modified endoscopic DCR on twenty eyes; senior consultants operated ten eyes and the remainder ten eyes by residents under guidance. We used 6-0 Prolene suture as a stent, instead of silicon tubing, with the help of a 23G Viscoelastic cannula, from lower punctum to the neo-ostium, after creating a large bony opening to form an anastomosis for the lacrimal sac and nasal mucosa.
Results: The postoperative follow up period was 6 months. The success rate of endoscopic DCR using Prolene stent was 100% even in the hands of residents.
Conclusions: This modification enables an easy, safe, effective, reproducible, universally available and low-cost form of DCR easily implemented by surgeons doing this procedure, giving excellent results.

Key Words:
Endoscopic Dacryocystostomy, Stent, Prolene