General ENT Conditions

Endoscopic Oculoplastic Surgery refers to a transnasal surgical approach used to treat dacryocystitis (tear duct obstructions), orbital tumours and trauma to the eye in addition to aid in orbital decompression and optic nerve decompression. This procedure could also address various conditions affecting the eyelids, tear ducts, and surrounding structures within the eye socket.

Endonasal endoscopy is favoured for its minimally invasive approach to orbital lesions, particularly accessing the medial and inferior walls of the orbit effectively. ENT surgeons commonly perform endoscopic dacryocystorhinostomy (DCR) to address chronic dacryocystitis caused by nasolacrimal duct obstruction, typically seen in older adults. Optic nerve decompression involves relieving pressure on the optic nerve within its bony canal, often requiring urgent intervention within the first six hours after trauma for optimal visual recovery. Administering steroids decrease the oedema swelling and help to better vision loss.

Additionally, endoscopic techniques are utilised for evacuating orbital haematomas resulting from trauma. These surgeries are typically performed promptly to improve prognosis. Patients generally undergo nasal packing for 36-48 hours and require hospital admission for 3-4 days post-surgery.

Endoscopic oculoplastic surgery aims to achieve precise and effective treatment with reduced trauma, quicker recovery times, and minimal scarring compared to traditional open surgeries.