Role of Toti’s Procedure with Adjunctive Use of Mitomycin C in Management of Unsuccessful Dacryocystorhinostomy (DCR)

Title: Role of Toti’s Procedure with Adjunctive Use of Mitomycin C in Management of Unsuccessful Dacryocystorhinostomy (DCR)

Authors: Dr Sudhir Kumar, Dr Ravi Ranjan, Dr Ravi Ranjan

DOI: https://dx.doi.org/10.18535/jmscr/v4i12.104

Abstract

AIM: Prospective study to assess the success rate of repeat Dacryocystorhinostomy (DCR) surgery done with Mitomycin C (MMC) syringing on first postoperative day.

METHOD: 43 patients qualifying inclusion criteria for repeat DCR were included. On first postoperative day sac syringing with 1 ml of 0.2mg/ml MMC was done in newly formed passage and near bone osteum. These patients were followed up for one year.

RESULT: Out of 43 patients, 42 patients were symptom free and patent on syringing at the end of follow up period of 12 months.

CONCLUSION: Result suggests that our modified technique had high success rate and reliability.

KEY WORDS:- Toti’s procedure, Dacryocystorhinostomy, Mitomycin C.

References

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