BACKGROUND Watering of eyes is a troublesome symptom and dacryocystitis is the commonest pathological cause for epiphora. It is treated with dacryocystorhinostomy. It is a common problem. Failure is seen with endonasal DCR. Untreated dacryocystitis never undergoes spontaneous resolution. The procedure of choice is dacryocystorhinostomy. The aim of the study is to evaluate the surgical outcomes of endoscopic endonasal dacryocystorhinostomy (DCR) technique with and without the use of silicone stent intra operatively. MATERIALS AND METHODS The study group consists of 40 patients of both sexes and above 20 years of age having symptoms and signs of nasolacrimal duct blockage. Patients with intraorbital tumours were excluded. After history and clinical examination patients were subjected to DNE to identify nasal pathology after investigations subjected to endonasal DCR with stenting to group A and DCR without stenting to group B. RESULTS Male to female ratio was 1/5.6 with 60% having on left and 40% on the right. 825 patients had mucopurulent discharge, 5% had clear fluid. Out of 20 postop cases with stent, only 1 case was a failure which was due to granulation tissue formation around the stent. 5 cases failed out of 20 postop cases without stent. CONCLUSION Endoscopic Endonasal DCR with stent is a safe and minimally invasive procedure as it is a direct approach to sac and no other structure needs to be dissected.
BACKGROUND To evaluate the effectiveness of Cartilage as a grafting material in terms of graft uptake and postoperative hearing following Type I Tympanoplasty. Tympanoplasty is a procedure to eradicate disease in the middle ear and to reconstruct the hearing mechanism, with or without tympanic membrane grafting commonly due after chronic otitis media and trauma. MATERIALS AND METHODS 100 subjects were enrolled for the study for a period of 1 1/2 Years from 2015 to 2017 June. All patients between 15 to 60 Years having mucosal type of CSOM with central, subtotal perforation and conductive hearing loss <45dB underwent cartilage Tympanoplasty. Patients were reviewed on 8th Postoperative day 6th and 12th Postoperative week. The graft uptake and postoperative hearing were evaluated. Statistical analysis was measured in terms of percentage and preposition. RESULTS The graft uptake on 42nd and 90th Postoperative day was 87.7% and 86.6% respectively. The results were statistically significant. The difference of mean preoperative 42nd and 90th Postoperative air bone gaps were 30.11 ± 1.66 dB, 18 ± 1.5db. CONCLUSION The cartilage was found to be excellent grafting material in terms of both graft uptakes and hearing results after type I tympanoplasty.
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