Effect of Endonasal DCR on Acute Dacryocystits as a Primary Treatment

ABSTRACT

In the past, the principles of treatment for acute dacryocystits were exclusively conservative treatment. Especially external DCR has been contraindicated. The purpose of this study is to investigate surgical results of endonasal DCR for acute dacryocystitis. The author performed standard endonasal laser-drill assisted DCR on 15 patients with acute dacryocystitis and followed up at least 2 months postoperatively. Anatomically surgical success were accomplished in 11 of 15 patients without epiphora in the primary operation. Swelling and redness disappeared within 10 days postoperatively in all cases. In short, when considering side effects of long-standing use of systemic antibiotics and secondary DCR, endonasal DCR should be considered the primary choice of treatment regimen for acute dacryocystitis.