No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

• Published in: Eye (London) Vol. 34; no. 8; pp. 1454 - 1458
• Main Authors: Koval, Tal, Zloto, Ofira, Yakirevitch, Arkadi, Ben Simon, Guy J., Ben-Shoshan, Joseph, Ben Artsi, Elad, Weissman, Alon, Priel, Ayelet
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 01.08.2020; Nature Publishing Group
• Subjects: 692/308/409; 692/699/3161/3167; Endoscopy; Laboratory Medicine; Lacrimal gland and Nasolacrimal duct; Medicine; Medicine & Public Health; Ophthalmology; Pharmaceutical Sciences/Technology; Septum; Success; Surgery; Surgical Oncology
• ISSN: 0950-222X; 1476-5454
• DOI: 10.1038/s41433-019-0696-4

Objective To compare the outcomes of combined endoscopic dacryocystorhinostomy (endoDCR) with nasal septoplasty for deviation of the nasal septum to endoDCR alone in cases of nasolacrimal duct obstruction (NLDO). Methods A retrospective cohort study that included 107 consecutive patients with NLDO, who underwent endoDCR with or without concomitant nasal septoplasty in our institution between October 2009 and October 2017. Results A total of 117 operations were performed (107 patients, 80.4% females; mean age ± SD 51.1 ± 19.5 years). Twenty-five (21.4%) endoscopic surgeries were combined with septoplasty (the endoDCR + septoplasty group), and 92 (78.6%) comprised endoDCR alone (the endoDCR group). There was no difference in anatomical success and functional success rates between the two groups ( P  = 0.76 and P  = 0.18, respectively). There were no complications attributed to the septoplasty component of the surgical procedure. Conclusion Considerable numbers of patients undergoing endoDCR also require a septoplasty. Combining an additional procedure (septoplasty), that was not performed for its original indication but rather for facilitating the main surgical intervention (endoDCR), yields surgical success and associated complications equivalent to those of endoDCR alone.