5 mm and 9 mm Balloon-Assisted Dacryocystorhinostomy

Abstract

Endoscopic balloon-assisted DCR offers the experienced lacrimal surgeon a simpler, shorter, and less invasive procedure. Although there is a steep learning curve, once mastered, the procedure has a very low complication rate. The procedure can be performed under monitored anesthesia care, though laryngeal mask anesthesia is often preferred as it provides greater comfort for the surgeon and the patient while minimizing the depth of the anesthesia and the risk of valsalva associated with an endotracheal tube, which can lead to postoperative bleeding. Other advantages of the balloon-assisted endoscopic approach include the absence of a skin incision, minimal bleeding, absence of edema, less discomfort, shorter recovery, and a good success rate.