Flapless External Dcr ; Is it Time to Say Good Bye Flaps ?

Retrospective observational study to assess the success of Flapless External DCR with Mitomycin c syringing by measuring post-operative osteum size changes, patency of osteum using nasal endoscope and improvement of symptoms . Methods: 2768 patients were included in this study qualifying inclusion criteria. All the patients were operated by single surgeon from September 2011 to Jan 2018.In all the patients no flap technique with Mitomycin c syringing on 5 th post oprative day.Osteum size changes were measured on 15th day, One month, two months, three months, six months and one year. Results: osteum size shrinkage was marked in first three months , after that it’s nearly stable and found 4-5 mm oval/round in shape at one year with success rate with 98.67%(2732). Conclusion: Results were analysed and compared with results available for various techniques . It was found that No flap method is easy to perform with reliable ,comparative result and less cumbersome.