Adjunctive Endonasal Procedures with Dacryocystorhinostomy

Abstract

Considering the wide breadth of nasal disorders commonly encountered in the general population, it is not surprising to find overlap with patients presenting with lacrimal ailments. In fact, within the subset of patients in whom surgical intervention is deemed prudent, it is occasionally necessary to perform simultaneous endonasal procedures at the time of dacryocystorhinostomy. In addition to septal deviation requiring septoplasty for access to the lacrimal system, one must also assess for various other nasal diseases including turbinate hypertrophy, nasal polyposis, rhinosinusitis, and multiple other neighboring disease processes. Emphasis must be placed on proper preoperative evaluation of concurrent disease to ensure the surgical candidate is properly consented prior to the day of surgery.