Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes

Utku Kubilay; Süleyman Emre Cılız; Mürşit Alperen Yakut; Ozlem Yagiz Agayarov; İbrahim Çukurova

doi:10.65396/ejra.1828800

Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes

Abstract

Objective: Dacryocystorhinostomy (DCR) bypasses an obstructed tear duct, allowing tears to drain directly into the nasal cavity. Although external and endonasal DCR approaches are effective, no universally accepted technique exists. This retrospective study evaluated the efficacy of endoscopic endonasal dacryocystorhinostomy (EnDCR) performed using an otologic drill, assessed by the nasolacrimal lavage test and the Lac-Q questionnaire. Materials and Methods: We retrospectively analysed 20 eyes from 18 patients who underwent EnDCR between April 2021 and December 2022. Pre- and postoperative assessments included endoscopic examination, nasolacrimal lavage testing and Lac-Q scoring at ≥6 months follow-up. Results: Patients were 4 males (22.2%) and 14 females (77.8%) with a median age of 63 years. Surgery was successful in 16 eyes (80.0%) and unsuccessful in 4 eyes (20.0%). Postoperative Lac-Q scores improved significantly in the successful group, whereas complications and revision surgery were more frequent in the unsuccessful group. Symptom severity and social impact scores were strongly correlated in patients with unsuccessful outcomes. Conclusion: EnDCR using an otologic drill achieved a high success rate. The Lac-Q questionnaire provided valuable insight beyond the nasolacrimal lavage test, underscoring the importance of incorporating patient-reported outcomes in evaluating surgical success.

Keywords

Ethical Statement

This study strictly followed the principles outlined in the Declaration of Helsinki. Ethical approval was obtained from Health Sciences University Tepecik Research and Training Hospital ethics committee (Meeting date: 2023, Decision No: 03-04).

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Utku Kubilay ^*
Türkiye

Süleyman Emre Cılız
Türkiye

Mürşit Alperen Yakut
Türkiye

Ozlem Yagiz Agayarov
0000-0002-8455-4400
Türkiye

İbrahim Çukurova
Türkiye

Publication Date

December 23, 2025

Submission Date

November 23, 2025

Acceptance Date

December 18, 2025

Published in Issue

Year 2025 Volume: 8 Number: 3

DOI

https://doi.org/10.65396/ejra.1828800

IZ

https://izlik.org/JA94TP58GU

Cite

RIS / Bibtex

APA

Kubilay, U., Cılız, S. E., Yakut, M. A., Yagiz Agayarov, O., & Çukurova, İ. (2025). Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes. European Journal of Rhinology and Allergy, 8(3), 97-104. https://doi.org/10.65396/ejra.1828800

AMA

1.Kubilay U, Cılız SE, Yakut MA, Yagiz Agayarov O, Çukurova İ. Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes. Eur J Rhinol Allergy. 2025;8(3):97-104. doi:10.65396/ejra.1828800

Chicago

Kubilay, Utku, Süleyman Emre Cılız, Mürşit Alperen Yakut, Ozlem Yagiz Agayarov, and İbrahim Çukurova. 2025. “Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes”. European Journal of Rhinology and Allergy 8 (3): 97-104. https://doi.org/10.65396/ejra.1828800.

EndNote

Kubilay U, Cılız SE, Yakut MA, Yagiz Agayarov O, Çukurova İ (December 1, 2025) Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes. European Journal of Rhinology and Allergy 8 3 97–104.

IEEE

[1]U. Kubilay, S. E. Cılız, M. A. Yakut, O. Yagiz Agayarov, and İ. Çukurova, “Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes”, Eur J Rhinol Allergy, vol. 8, no. 3, pp. 97–104, Dec. 2025, doi: 10.65396/ejra.1828800.

ISNAD

Kubilay, Utku - Cılız, Süleyman Emre - Yakut, Mürşit Alperen - Yagiz Agayarov, Ozlem - Çukurova, İbrahim. “Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes”. European Journal of Rhinology and Allergy 8/3 (December 1, 2025): 97-104. https://doi.org/10.65396/ejra.1828800.

JAMA

1.Kubilay U, Cılız SE, Yakut MA, Yagiz Agayarov O, Çukurova İ. Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes. Eur J Rhinol Allergy. 2025;8:97–104.

MLA

Kubilay, Utku, et al. “Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes”. European Journal of Rhinology and Allergy, vol. 8, no. 3, Dec. 2025, pp. 97-104, doi:10.65396/ejra.1828800.

Vancouver

1.Utku Kubilay, Süleyman Emre Cılız, Mürşit Alperen Yakut, Ozlem Yagiz Agayarov, İbrahim Çukurova. Endoscopic Endonasal Dacryocystorhinostomy Using an Otologic Drill: Bridging the Gap Between Objective Measures and Patient-Reported Outcomes. Eur J Rhinol Allergy. 2025 Dec. 1;8(3):97-104. doi:10.65396/ejra.1828800