Background: Endoscopic dacryocystorhinostomy (Endo-DCR) is a standard care for chronic dacryocystitis; however, wound adhesion and granulation affect its optimal outcome. Surgical technique modification, stents, and chemicals are used to achieve better results. Hyaluronic acid has beneficial effects on mucosa which encouraged us to perform a study to find its role in Endo-DCR.
Materials and methods: The study had a hyaluronic acid case group and a control group consisting of thirteen subjects each. Standard Endo-DCR was performed in all while the case group had hyaluronic acid application around the ostium.
Results: The hyaluronic acid group showed a statistically significant difference in ostium patency as compared to the control group. Granulation and adhesions formation were significantly lower in the case group.
Conclusion: Hyaluronic acid increased the surgical success rate of Endo-DCR in this study. Further research in a large sample size randomized control study with a longer follow-up period is warranted.
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