To compare the outcomes of combined endoscopic dacryocystorhinostomy (endoDCR) with nasal septoplasty for deviation of the nasal septum to endoDCR alone in cases of nasolacrimal duct obstruction (NLDO). A retrospective cohort study that included 107 consecutive patients with NLDO, who underwent endoDCR with or without concomitant nasal septoplasty in our institution between October 2009 and October 2017. A total of 117 operations were performed (107 patients, 80.4% females; mean age ± SD 51.1 ± 19.5 years). Twenty-five (21.4%) endoscopic surgeries were combined with septoplasty (the endoDCR + septoplasty group), and 92 (78.6%) comprised endoDCR alone (the endoDCR group). There was no difference in anatomical success and functional success rates between the two groups (P = 0.76 and P = 0.18, respectively). There were no complications attributed to the septoplasty component of the surgical procedure. Considerable numbers of patients undergoing endoDCR also require a septoplasty. Combining an additional procedure (septoplasty), that was not performed for its original indication but rather for facilitating the main surgical intervention (endoDCR), yields surgical success and associated complications equivalent to those of endoDCR alone.

中文翻译：

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鼻中隔成形术对内镜泪囊鼻腔吻合术的结果没有影响

比较内窥镜泪囊鼻腔造口术 (endoDCR) 与鼻中隔成形术在鼻泪管阻塞 (NLDO) 情况下鼻中隔偏曲与单独使用内镜鼻腔鼻窦吻合术的结果。一项回顾性队列研究，包括 107 名连续 NLDO 患者，这些患者于 2009 年 10 月至 2017 年 10 月期间在我们机构接受了伴有或不伴有鼻中隔成形术的 EndoDCR。总共进行了 117 次手术（107 名患者，80.4% 女性；平均年龄 ± SD 51.1 ± 19.5 年）。25 例 (21.4%) 内窥镜手术联合鼻中隔成形术（endoDCR + 鼻中隔成形术组），92 例（78.6%）仅包含内镜手术（endoDCR 组）。两组之间的解剖成功率和功能成功率没有差异（分别为 P = 0.76 和 P = 0.18）。没有因外科手术的中隔成形术部分而引起的并发症。相当多的接受内膜 DCR 的患者也需要进行鼻中隔成形术。结合额外的手术（鼻中隔成形术），这不是为了其最初的适应症，而是为了促进主要手术干预（endoDCR），产生的手术成功和相关并发症与单独使用 endoDCR 相当。