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NR. 3/2008
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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 |
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| 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. |
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| Key words: |
endoscopic
dacryocystorhinostomy, nasolacrimal duct obstruction,
surgical technique. |
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