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Randomized Controlled Trial
. 2007 Apr;133(4):340-3.
doi: 10.1001/archotol.133.4.340.

Use of laser for dacrocystorhinostomy

Mohammad Ajalloueyan  1 , Mohammad Fartookzadeh, Hamid Parhizgar
Affiliations
Randomized Controlled Trial

Use of laser for dacrocystorhinostomy

Mohammad Ajalloueyan et al. Arch Otolaryngol Head Neck Surg. 2007 Apr.

Abstract

Objective: To compare outcomes between conventional external dacrocystorhinostomy (ext DCR) and endonasal laser-assisted DCR (ELADCR).

Design: Prospective randomized trial.

Patients: The study included 210 consecutive patients (244 eyes) referred to hospital eye and ear, nose, and throat clinics.

Main outcome measures: Success rates and complications of ext DCR and ELADCR were compared after lacrimal ducts requiring DCR were randomly chosen and divided into 2 groups (ext DCR and ELADCR).

Results: The success rate was statistically equal in both groups (92.4% for ext DCR and 94.2% for ELADCR); however, morbidity (eg, intraoperative hemorrhage and wound scar) and operation time were less in the ELADCR group.

Conclusion: Preoperative patient consultation for selection of the surgical modality may help select the procedure of choice for each patient with regard to aesthetics, anesthesia, operation time, and costs.

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