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Which is better, external or endoscopic DCR?

Which is better, external or endoscopic DCR? Part 1

With external approach DCR, endoscopic endonasal DCR, or with combined external and endoscopic DCR surgery for watering eyes, there is a small risk of nose bleed in the first 5 – 7 days after lacrimal surgery.
I have had just one patient out of over 100 patients, have a nose bleed on day six. It is well known that you must not blow your nose after DCR surgery for 5 to 7 days after external or endoscopic DCR as it risks bleeding. He had his nose packed, was given systemic antibiotics and made a complete recovery with now a non-watering eye.
The same goes for combined external and endoscopic endonasal DCR. In that respect, they are all the same. However, the results of the combined approach are higher.
In my next blog, I will explain how the surgery works.

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