Endoscopic Dacryocystorhinostomy – Advantages and Causes of Failure
str. 10 – 14
Autorzy: Andrzej Sieśkiewicz 1, Damian Rębacz 1, Magdalena Korwin 2
1 Klinika Otolaryngologii Uniwersytetu Medycznego w Białymstoku
Kierownik: prof. dr hab. n. med. Marek Rogowski
2 Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. n. med. Jacek P. Szaflik
Summary: Epiphora is one of the most frequent ailments in patients reporting to the ophthalmologists. Besides functional disorders like hypersecretion of tear fluid or malfunction of the lacrimal pump, partial or total obstruction of the lacrimal pathway is the cause of this symptom. Endoscopic dacryocystorhinostomy is aimed at improving lacrimal ducts patency by creating an alternative drainage pathway in the form of a by-pass omitting the obstructed part.
Endoscopic dacryocystorhinostomy gains increasing popularity among specialists in the field of surgical treatment of tear duct obstruction. It can be safely said that its effectiveness is equal to the effectiveness of external approach surgery, and even exceeds it in some clinical series. Like any new, constantly evolving surgical method, endoscopic dacryocystorhinostomy requires refining the details of patient selection, which is particularly important in the situation when new concepts of surgical technique are constantly developing, many types of surgical instruments and medical devices are used, and additional non-surgical procedures are introduced to improve treatment results.
In this paper based on the literature survey and the authors` own experience, the advantages and possible causes of failure of endoscopic dacryocystorhinostomy are described.