A Comparison between endonasal and external Dacryocystorhinostomy using the Lac-Q questionnaire

Abstract Purpose Assessing lacrimal problems pre- and postoperatively with a symptom-based questionnaire (Lac-Q questionnaire) and investigating the patients’ satisfaction depending on choice of operative technique. Methods A total of 112 patients with lacrimal problems operated by external or endonasal dacryocystorhinostomy (DCR) were enrolled in the study. After the operation they received a symptom-based questionnaire (Lac-Q questionnaire) to evaluate their lacrimal symptoms pre- and postoperatively. Complementary questions regarding the scar generated by the operation and satisfaction with the operation were added. Results Lacrimal problems gave high scores on the Lac-Q questionnaire. Patients expressed both symptomatic and social problems because of epiphora. Patients were satisfied after DCR surgery and there was no difference between external DCR and endonasal DCR concerning the degree of the patients’ satisfaction after the operation. The scar after the operation did bother a few of the patients. Conclusion Lacrimal problems were regarded by the patients as a large symptomatic and social burden. The relief of the symptoms and satisfaction after a DCR operation, regardless of endonasal or external approach, were very good.