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Long-term results of endonasal dacryocystorhinostomy

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The aim of this study is to review the long-term results of endonasal endoscopic dacryocystorhinostomy (DCR) according to our experience as well as to evaluate potential prognostic factors for long-term outcomes. The files of 165 patients who underwent endonasal DCR at a tertiary referral centre between 1991 and 2001 were retrospectively assessed. Furthermore, these cases were clinically evaluated at least 5 years after surgery and completed a subjective result evaluation questionnaire. A cure was reported by a total of 112 (67.9%) subjects and significant improvement without need for further treatment was noted in 23 cases (13.9%). Thirty (18.2%) cases were considered as failures. The overall successful outcome according to the subjective symptom evaluation was 81.8%. Poor correlation between clinical findings and subjective report of symptoms was found. None of the prognostic factors that were assessed affected outcomes significantly. In conclusion, long-term success rates for endonasal DCR seem to be comparable to previously published short-term results.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nurnberg Medical School, Waldstr. 1, 91054, Erlangen, Germany

    Johannes Zenk, Alexander D. Karatzanis, George Psychogios, Katrin Franzke, Michael Koch, Joachim Hornung & Heinrich Iro

  2. Department of Otorhinolaryngology, Head and Neck Surgery, University of Crete Medical School, Heraklion, Crete, Greece

    Alexander D. Karatzanis & George A. Velegrakis

Authors
  1. Johannes Zenk
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  2. Alexander D. Karatzanis
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  3. George Psychogios
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  4. Katrin Franzke
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  5. Michael Koch
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  6. Joachim Hornung
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  7. George A. Velegrakis
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  8. Heinrich Iro
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Correspondence to Johannes Zenk.

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Zenk, J., Karatzanis, A.D., Psychogios, G. et al. Long-term results of endonasal dacryocystorhinostomy. Eur Arch Otorhinolaryngol 266, 1733–1738 (2009). https://doi.org/10.1007/s00405-009-1000-1

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  • DOI: https://doi.org/10.1007/s00405-009-1000-1

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