Adult Endoscopic Endonasal Dacryocystorhinostomy

  • Angela Maria Dolmetsch


Epiphora or tearing is a common symptom of diverse etiology. One of the causative factors is blockage of the nasolacrimal duct, which provides tear drainage from the lacrimal sac to the nasal cavity. The treatment of choice for nasolacrimal duct obstruction is the dacryocystorhinostomy which bypasses the obstruction in the duct by creating a direct aperture from the lacrimal sac to the nose. The traditional approach is the external dacryocystorhinostomy (Ext-DCR) which has been considered in the past the “gold standard” of treatment. However, in the previous decades, the endoscopic endonasal dacryocystorhinostomy (EndoDCR) has been found to have equally or even better success rates than the external route. Furthermore, the EndoDCR has many potential advantages over the Ext-DCR. Current concepts, applied surgical anatomy, surgical techniques, indications and contraindications, and complications will be discussed.


Epiphora Dacryocystorhinostomy Endoscopic Endonasal Tearing Dacryocystitis Nasal mucosal flaps Sump syndrome Osteotomy fibrosis Lacrimal surgery 



Congenital nasolacrimal duct obstruction


Carbon dioxide




Endonasal dacryocystorhinostomy


Endonasal laser dacryocystorhinostomy


External dacryocystorhinostomy


Potassium titanyl phosphate


Mitomycin C


Primary acquired nasolacrimal duct obstruction


Radioactive iodine therapy


Secondary acquired nasolacrimal duct obstruction


Yttrium aluminum garnet


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Angela Maria Dolmetsch
    • 1
    • 2
  1. 1.Clínica de Oftalmología de CaliCaliColombia
  2. 2.Pontificia Universidad JaverianaCaliColombia

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