Purpose.The aim of this study is to propose a simple and efficient combination surgery for the management of dacryocystitis with\ncanalicular obstruction. Methods. A retrospective noncomparative case series of dacryocystitis with canalicular obstruction has\nbeen studied. Twelve patients with dacryocystitis and canalicular obstruction underwent a conventional endoscopic endonasal\ndacryocystorhinostomy (EE-DCR) combined with a modified canalicular repair. Postoperative observations included slit lamp,\nfluorescein dye disappearance test, lacrimal syringing, lacrimal endoscopy, and nasal endoscopy. Results. After 6ââ?¬â??18 months\nof postoperative follow-up, the symptoms of epiphora and mucopurulent discharge disappeared completely in 10 patients, and\noccasional or intermittent epiphora remained in 2 patients. All of the twelve patients showed an opened intranasal ostium and\nnormal fluorescein dye disappearance test. Patent bicanalicular irrigation was achieved in 9 patients. One patient had a partial\nand the other two had a complete reobstruction by lacrimal irrigation to their repaired lower canaliculus; however, all of them\nhad a patent lacrimal irrigation to upper canaliculus. The functional success rate for the combination surgery is 83% (10/12), and\nanatomical success rate is 75% (9/12). Conclusion. EE-DCR combined with modified canalicular repair is a simple and efficient\nmethod for the management of dacryocystitis with canalicular obstruction.
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