The aim of this study is to evaluate and compare the changes in Quality of Life (QoL) before and after Endoscopic Dacryocystorhinostomy with & without Mitomycin C. Introduction: With the advent of Endoscopic Dacryocystorhinostomy over the last few decades there arises need for reducing failure and tackling the complications of this surgery. Studies done still show a better success rate for External Dacryocystorhinostomy over the endoscopic approach. Mitomycin-C can be used to reduce fibrous proliferation to maintain patency of stoma and improve the success rate. Objective and Study Design: A Prospective Randomized study to compare the patency of stoma and relief of epiphora after Endoscopic Dacryocystorhinostomy with Mitomycin C and without in cases of Chronic Dacryocystitis. Materials and Method: 22 patients with Chronic Dacryocystitis were included in the study after considering inclusion and exclusion criteria. 11 cases underwent Endoscopic Dacryocystorhinostomy with adjuvant application of Mitomycin-C 0.4mg/ml at the rhinostomy site and 11 without. They were followed up for 2 weeks, 4 weeks and 6 months after surgery and evaluated both subjectively and objectively Results: The success rate at 6 months after surgery was found to be 100% for Endoscopic Dacryocystorhinostomy irrespective of the use of Mitomycin C. Presence of synechae in the post-operative period was found to be less with the drug but not statistically significant. Conclusion: Mitomycin C has no significant bearing on the success of Endoscopic Dacryocystorhinostomy. It does appear to induce a good healing profile in terms of mucosal recovery and wound healing. An atraumatic and meticulous surgical technique ensures good results irrespective of the adjuvant usage of Mitomycin C .
Introduction
Isolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years.
Case Report
A case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size of the lesion (35 x 34 mm) detected by CT & MRI scans. The patient presented with a 3 weeks history of unilateral ptosis, diplopia, and photophobia. He also complained of bilateral nasal obstruction, nasal stuffiness, and a mucoid nasal discharge. Endoscopic decompression of the right sphenoid sinus was performed, and approximately 160 ml of thick, sterile mucoid secretion was aspirated. Despite the size of the mucocele, no significant destruction of the sphenoid walls was evident. Postoperatively within 15 days the patient's symptoms improved significantly.
Conclusion
The Nasal Endoscope has revolutionised sphenoid sinus mucocele treatment. An adequate sphenoidotomy and drainage give excellent results.
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