Endoscopic dacryocystorhinostomy

被引:37
作者
Roithmann, Renato [1 ,2 ,3 ]
Burman, Tiana [4 ,5 ]
Wormald, Peter-John [6 ,7 ]
机构
[1] Brazilian Lutheran Univ, Canoas, RS, Brazil
[2] Mt Sinai Hosp, Dept Otolaryngol H&N Surg, Toronto, ON M5G 1X5, Canada
[3] ULBRA Mae Deus Univ Hosp, ENT Dept, Canoas, RS, Brazil
[4] Univ Sao Paulo, BR-05508 Sao Paulo, Brazil
[5] Santa Casa Misericordia Porto Alegre, Ophthalmol Residency Program, Porto Alegre, RS, Brazil
[6] Univ Adelaide, Dept Otolaryngol Head & Neck Surg, Adelaide, SA, Australia
[7] Univ Adelaide, Dept ORL HNS, Adelaide, SA, Australia
关键词
dacryocystorhinostomy; lacrimal apparatus diseases; natural orifice endoscopic surgery; EXTERNAL DACRYOCYSTORHINOSTOMY; ENDONASAL DACRYOCYSTORHINOSTOMY; SILICONE INTUBATION; OBSTRUCTION; ANATOMY;
D O I
10.5935/1808-8694.20120043
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The endonasal surgical approach of the lacrymal sac assisted by video-endoscopy is carried out today with high success rates. Despite the satisfactory results reached with the traditional external approach, it has the disadvantage of requiring a skin incision and a consequent local scar. With the development and enhancement of the endonasal techniques, the endoscopic approach is increasingly preferred by surgeons. Objective: This paper reviews the lacrymal system anatomy, the preoperative assessment and the technical details of the endoscopic assisted approach which may provide better surgical outcomes for patients. We will also briefly discuss complications and causes for surgical failure. Methodology: This is a review of the experience of the authors in the past 10 years of employing the endoscopic technique for the lacrymal sac surgery. Conclusion: Outcomes regarding the endoscopic dacryocystorhinostomy are, at leas, equal to those from the traditional external approach. Notwithstanding, the joint work between the otorhinolaryngologist and the ophthalmologist is of great benefit to patients with epiphora.
引用
收藏
页码:113 / 121
页数:9
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