Endoscopic dacryocystorhinostomy

Marina N. Cavada*, Jessica W. Grayson, Raymond Sacks

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


Purpose of the Review: Endoscopic dacryocystorhinostomy (DCR) is a recognized procedure performed to treat epiphora caused by anatomical or functional obstruction of the nasolacrimal apparatus. The purpose of this review is to discuss our experience with the endoscopic approach to DCR. Recent Findings: Nasolacrimal duct dysfunction has many different etiologies. The diagnosis is clinical, so a thorough clinical history and physical exam are required to confirm the diagnosis of epiphora. The etiology is confirmed with further exams including the dye disappearance test, Jones tests, endoscopic evaluation, and imaging when required. Endoscopic DCR provides a better visualization of the surgical field than the previously described external approach. Summary: An understanding of the endonasal and lacrimal apparatus anatomy, the importance of wide marsupialization of the lacrimal sac, and meticulous care with the mucosa are crucial for the success of the procedure.

Original languageEnglish
Pages (from-to)141-146
Number of pages6
JournalCurrent Otorhinolaryngology Reports
Issue number2
Publication statusPublished - 15 Jun 2019


  • Dacryocystitis
  • Dacryocystorhinostomy
  • Endoscopic surgical procedure
  • Epiphora
  • Lacrimal apparatus diseases
  • Lacrimal duct obstruction


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