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Simultaneous endoscopic septoplasty was required in 36 (15.5%) cases. Performing a simultaneous endoscopic septoplasty provides comfortable surgical access and contributes to the final successful outcome of EN-DCR. Performing a simultaneous endoscopic septoplasty provides comfortable surgical access and contributes to the final successful outcome of EN-DCR. To estimate efficacy and safety of endoscopic orbital decompression in patients with dysthyroid optic neuropathy (DON). 19 patients aged 54.8±7.1 y.o. with DON were enrolled into the