Article
Endonasal dacryocystorhinostomy with operative microscope in acute dacryocystitis
Meeting Abstract
Search Medline for
Authors
Published: | September 18, 2006 |
---|
Outline
Text
The fact that so many different surgical procedures in chronic nasolacrimal duct obstruction are in use, shows that we still do not have for this pathology a reliable surgical technique.
The endonasal dacryocystorhinostomy (endoDCR) is a scar-free surgery, but it has to be underlined that several different surgical procedures can be used: laser, non laser, endoscopic, microscopic, with or without stent.
We perform the endoDCR by an operative microscope, without laser and with a bicanalicular silicone stent implant.
This kind of endoDCR technique seems to be very useful particularly when acute dacryocystitis occurs, both because:
- the pus accumulated can be easily drained from the lacrimal sac avoiding the arise of major complications such as orbital cellulitis and the lacrimal sac perforation, and
- the impossibility to access to the lacrimal sac via the lacrimal puncta, due to the Rosenmuller valve occlusion.