Transcanicular Laser Dacryocystorhinostomy in Patients with Epiphora and Midfacial Fractures

Dacryocystorhinostomy (DCR) is a surgical operation performed to treat recurrent dacryostenosis and epiphora in which an anastomosis is created between the lacrimal sac and the nasal cavity. Epiphora occurs in cases of midfacial trauma but is often over-looked. The present study aimed to present the results of post-traumatic transcanalicular laser DCR. We have defined traumatic dacryocystitis as a disease entity in which the anatomy of the orbital and nasolacrimal region has been distorted due to facial trauma which causes epiphora and discharge due to recurrent episodes of infection. Five patients were included in the study that underwent DCR with bicanalicular silicone intubation. In our study, we analyzed the causes and results of the operation of 5 patients. In all the patient bicanalicular silicon intubation could be performed. The silicone stent is removed after 4 months which is sufficient for fibrosis of the tract to occur. All five of our patients had complete resolution of epiphora after stent removal.