gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

Does the middle turbinate resection affect the success rate of endonasal dacryocystorhinostomy?


  • corresponding author Pavel Kominek - University Hospital Ostrava, Department of ORL, Czech Republic
  • Petr Matousek - University Hospital Ostrava, Czech Republic
  • Stanislav Cervenka - University Hospital Ostrava, Czech Republic
  • Tomas Pniak - University Hospital Ostrava, Czech Republic

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2010;6:Doc54

doi: 10.3205/cpo000547, urn:nbn:de:0183-cpo0005471

Published: April 22, 2010

© 2010 Kominek et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Purpose: To evaluate if the partial resection of the head of the middle turbinate increases a patency of the rhinostomy in the primary endonasal dacryocystorhinostomies (EDCR).

Methods: The partial middle turbinate resection is performed during EDCRs in patients with the anteriorly enlarged middle turbinate to prevent rhinostomy closure. The definite evidence-based determination of the relative efficacy of partial turbinectomy has not been established so far.

The data were retrospectivelly collected in 630 primary EDCRs performed in the patients over 16 years old in the period 1994–2008. Only the patients with subsaccal nasolacrimal duct obstructions were involved in the study (228 cases); the patients with canalicular obstructions and secondary surgical procedures (silicone intubation, Mitomycin C, ethmoidectomy, septoplasty) were excluded. The success rates of patients with the partial middle turbinate resection (group I) and without resection (group II) were compared one year after the surgery.

Results: The overall success rate was 214/228 (93.9%) in EDCRs with/without partial turbinate resections. In group I the success rate was 94/96 (97.9%), in group II 120/132 (90.9%). The differences between the results in groups I and II were statistically significant (p<0.05).

Conclusions: The partial middle turbinate resection significantly improves the success rate in the primary EDCRs.