Wydanie 3/2008
str. 23

Endoskopowa dacryocystorhinostomia w leczeniu nabytej niedrożności przewodu nosowo-łzowego.Część I. Technika operacyjna

Endoscopic Dacryocystorhinostomy in the Treatment of Acquired Nasolacrimal Duct Obstruction. Part I. Surgical Technique

Andrzej Sieśkiewicz1, Iwona Obuchowska2, Marek Rogowski1, Zofia Mariak2

1 Klinika Otolaryngologii Uniwersytetu Medycznego w Białymstoku
Kierownik: prof. dr hab. n. med. Marek Rogowski
2 Klinika Okulistyki Uniwersytetu Medycznego w Białymstoku
Kierownik: prof. dr hab. n. med. Zofia Mariak


Summary: During the last decade, multiple published studies have confirmed the value of endoscopic dacrocystorhinostomy (DCR) in the treatment of nasolacrimal duct obstruction. The advantages of this new technique include the absence of skin incision and scar, preservation of the lacrimal pump mechanism, less disruption of medial canthal anatomy, decreased operating time and intraoperative bleeding and ability to address concurrently nasal cavity or paranasal sinus abnormalities. Endoscopic DCR appear to be a valid alternative to external procedures. It is a less invasive method with a high success rate and good outcome. In this article personal surgical experience in DCR, focusing on operative technique, complications and causes of failure are described. Special attention was paid to the understanding of the endoscopic anatomy and location of the lacrimal sac.

Keywords: endoscopic dacryocystorhinostomy, nasolacrimal duct obstruction, surgical technique.


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