Endonasal Dacrocystorhionostomy – How to Find the Lacrimal Sac
Authors:
Pavel Komínek 1
; S. Červenka 1,2; P. Matoušek 1
Authors‘ workplace:
ORL klinika Fakultní nemocnice Ostrava
; přednosta doc. MUDr. P. Komínek, Ph. D., MBA
1; Oční ambulance Otrokovice
2
Published in:
Otorinolaryngol Foniatr, 56, 2007, No. 4, pp. 183-187.
Category:
Original Article
Overview
The retrieval of lacrimal sac is the most difficult task in endonasal dacryocystorhinostomy and conjunctivocystoirhinostomy. The structure serving as the basic landmark of orientation is the insertion of medium nasal concha on lateral nasal wall. The sac is usually found at the location of concha insertion or immediately before it at the level of linea maxillaries.
In addition to the anatomical-topographic knowledge, the lacrimal sac can be localized by other methods, e.g. by translumination of the lacrimal sac. The fastest and simplest method, used also by the authors, is the localization of the sac by means of bayonet pincers – one branch localized in the area of ocular corner, the intranasal branch then points to the site of lacrimal sac projection. It is the way of simple estimate the need of rescting thre head of middle concha or opening of the frontal olfactory air sacs. The significant advantage of the method is in that it can be repeated during the surgery even in a disorganized or untransparent and bleeding terrain.
Key words:
dacryocystorhiostomy, conjunctivocystorhinostomy, sac localization, bayonet pincers.
Sources
1. Allen, K. M., Berlin, A. J.: Intranasal endoscopic analysis of dacryocystorhinostomy failure. Ophthal. Plast. Reconstr. Surg., 4, 1998, s. 143-145.
2. Denecke, H. J., Denecke, M. U., Draf, W., Ey, W.: Die Operationen an den Nasennebenhöhlen und der angrenzenden Schädelbasis. 1st ed. Berlin, Springer Verlag, 1992.
3. Fayet, B., Racy, E., Assouline, M.: Systematic unciformectomy for a standardized endonasal dacryocystorhinostomy. Ophthalmology, 109, 2002, s. 530-536.
4. Hurwitz, J. J.: The lacrimal system. 1st ed. Philadelphia, Lippincott Raven Publ., 1996, 331 s.
5. Komínek, P., Červenka, S.: Vyhledání slzného vaku pomocí transluminace. Otorinolaryng. a Foniat. /Praque/, 47, 1998, s. 157-159.
6. Komínek, P., Červenka, S, Matoušek, P.: Endonasal dacryocystorhinostomy: Location of lacrimal sac with forceps. Laryngoscope, 114, 2004, s. 1674-1676.
7. Komínek, P., Červenka, S., Müllner, K.: Nemoci slzných cest. 1. vydání, Praha, Maxdorf, 2003, 287 s.
8. Kong, Y. T., Kim, T. I., Kong, B. W.: A report of 131 cases of endoscopic laser lacrimal surgery. Ophthalmology, 101, 1994, s. 1793-1800.
9. Kurihashi, K., Yamashita, A.: Anatomical consideration for dacryocystorhinostomy. Opthalmologica, 203, 1991, s. 1-7.
10. McDonogh, M., Meiring, J. H.: Endoscopic transnasal dacryocystorhinostomy. J. Larnygo. Otol., 103, 1989, s. 585-587.
11. Metson, R., Woog, J. J., Puliafito, C. A.: Endoscopic laser dacryocystorhinostomy. Laryngoscope, 104, 1994, s. 269-274.
12. Rebeiz, E. E., Shapshay, S. M., Bowlds, J. H. et al.: Anatomic guidelines for dacryocystorhinostomy. Laryngoscope, 102, 1992, s. 118l-1184.
13. Sprekelsen, M. B., Barberán, M. T.: Endoscopic dacryocystorhinostomy: Surgical technique and results. Laryngoscope, 106, 1996, s. 187-189.
14. Unlu, H. H, Govsa, F., Mutlu, C. et al: Anatomical guidelines for intranasal surgery of the lacrimal drainage systém. Rhinology, 35, 1997, s. 11-15.
15. Watkins, L. M., Janfaza, P., Rubin, P. A. D.: The evolution of endonasal dacryocystorhinostomy. Survey of Opthalmol, 48, 2003, s. 73-84.
16. Weber, R., Draf, W., Kolb, P.: Die endonasale mikrochirurgische Behandlung von Tränenwegstenosen. HNO, 41, 1993, s. 11-18.
17. Wesley, R. E., Brent Bond, J.: Intranasal procedures for successful lacrimal surgery. Ophthalmic Plastic and Reconstructive Surgery, 2, 1986, s. 153-157.
18. Woog, J. J., Kennedy, R. H., Custer, P. L. et al: Endonasal dacryocystorhinostomy. A report by the American Academy of Ophthalmology. Ophthalmology, 208, 2001, s. 2369-2377.
19. Wormald, P. J., Kew, J., Van Hasselt, A. L.: Intranasal anatomy of the nasolacrimal sac in endoscopic dacryocystorhinostomy. Otolaryngol. Head Neck Surg., 123, 2000, s. 307-310.
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2007 Issue 4
Most read in this issue
- Beta-hemolytic Streptococci of Serological Group C and Acute Tonsillopharyngitis. Epidemiologic Study
- Pain in the Head and Neck Region - Arthritis of the Temporomandibular Joint
- Chronic Rhinosinusitis with Nasal Polypi and Staphylococcus aureus
- Amyloidosis of Upper Respiratory and Swallowing Pathways