to Compare success of Early Endonasal Endoscopic versus delayed External Dacryocystorhinostomy with in Acute Suppurative Dacryocystitis

: Consecutive patients referred with ASD and lacrimal abscess underwent ether in Group 1: En-DCR or in Group 2 : Ex-DCR within five days after starting systemic antibiotic, from June 2013 to September 2014 Resolution of clinical findings of cellulitis, resolution of epiphora and discharge, patency of lacrimal drainage assessed by subjective modified Munk scale(subjective success) and objective irrigation test (anatomical success).

Twenty-two patients with ASD that underwent En-DCR and 19 ptients that underwent Ex-DCR were included. There was no significant difference in demographic data. Mean follow-up time was 14.73 (SD=±3.01) months in group 1 and 13.3 (SD=± 1.2) in group 2. Postoperative Overall success rate was 86.4 (86.4% in group 1 and 89.5% in group 2 (Pvalue=0.7)).postoperative Epiphora was significantly higher in En-DCR (Pvalue 0.003) although Irrigation was not different between the two groups (Pvalue= 1.00)

Early En-DCR in acute suppurative dacryocystitis could both hasten resolution of abscess and cellulitis and nasolacrimal duct obstruction with a low morbidity and regarded as an alternative management option in patients with ASD.