Endonasal dacryocystorhinostomy: technique and results

Background: Endonasal dacryocystorhinostomy has recently become an importan t alternative to the classical external Toti procedure. Objective: To analyse the outcome after endonasal dacryocystorhinostomy. Methods: For this purpose 28 of 34 patients treated by endonasal dacryocyst orhinostomy between May 1994 and November 1998 were investigated. Results: After an average follow-up of 28 months, 23 of the 28 patients (82 %) are free of symptoms, Two additional patients became symptom-free after revision surgery. The total success rate is 89%, The only complications see n were 2 cases of asymptomatic synechiae and one case of mild hyposmia. Conclusions: Endonasal dacryocystorhinostomy is a rapid, safe, and elegant method for the treatment of post-saccal nasolacrimal duct obstructions.