{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:20:48Z","timestamp":1788200448145,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T00:00:00Z","timestamp":1542672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the outcomes of various techniques of endoscopic dacryocystorhinostomy (DCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective case record analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Tertiary care referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subject and Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of case records was carried out pertaining to the period from January 1996 to September 2017 with respect to patients who had undergone endoscopic DCR with either the standard technique or one of its modifications. Case notes showing well\u2010documented preoperative evaluation, operative details, postoperative assessment, and minimum 6\u2010month follow\u2010up were considered. The outcomes were measured on the basis of patients\u2019 postoperative symptoms, clinical examination, and sac\u2010syringing results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 423 patients were included in the study. Of these, 169 underwent standard endoscopic DCR; 87, endoscopic DCR with stent; 19, endoscopic DCR with mitomycin C; 62, powered DCR; 29, laser\u2010assisted DCR; and 57, balloon DCR. There was no statistically significant difference in success rates, recurrences, or complications of various techniques at 3 or 6\u00a0months. Mean operating time was lowest for balloon DCR (mean \u00b1 SD, 27.1 \u00b1 3.1\u00a0minutes), followed by standard endoscopic DCR (38.2 \u00b1 3.6\u00a0minutes;\n                      <jats:italic>P<\/jats:italic>\n                      =. 001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Standard endoscopic DCR and its more sophisticated modifications were equally effective and safe in managing distal nasolacrimal drainage obstruction. Balloon DCR, followed by standard endoscopic DCR, was significantly faster than other techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0194599818813123","type":"journal-article","created":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T04:44:42Z","timestamp":1542689082000},"page":"347-354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Comparing Outcomes of the Standard Technique of Endoscopic DCR with Its Modifications: A Retrospective Analysis"],"prefix":"10.1002","volume":"160","author":[{"given":"Subodh","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Army College of Medical Sciences and Associated Base Hospital Delhi Cantt New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awadhesh Kumar","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Army College of Medical Sciences and Associated Base Hospital Delhi Cantt New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwani","family":"Sethi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Army College of Medical Sciences and Associated Base Hospital Delhi Cantt New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Army College of Medical Sciences and Associated Base Hospital Delhi Cantt New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Maggon","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery Army College of Medical Sciences and Associated Base Hospital Delhi Cantt New Delhi 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