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Adult Endoscopic Endonasal Dacryocystorhinostomy

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Oculofacial, Orbital, and Lacrimal Surgery

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Abstract

Epiphora or tearing is a common symptom of diverse etiology. One of the causative factors is blockage of the nasolacrimal duct, which provides tear drainage from the lacrimal sac to the nasal cavity. The treatment of choice for nasolacrimal duct obstruction is the dacryocystorhinostomy which bypasses the obstruction in the duct by creating a direct aperture from the lacrimal sac to the nose. The traditional approach is the external dacryocystorhinostomy (Ext-DCR) which has been considered in the past the “gold standard” of treatment. However, in the previous decades, the endoscopic endonasal dacryocystorhinostomy (EndoDCR) has been found to have equally or even better success rates than the external route. Furthermore, the EndoDCR has many potential advantages over the Ext-DCR. Current concepts, applied surgical anatomy, surgical techniques, indications and contraindications, and complications will be discussed.

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Abbreviations

CNLDO:

Congenital nasolacrimal duct obstruction

CO2:

Carbon dioxide

DCR:

Dacryocystorhinostomy

EndoDCR:

Endonasal dacryocystorhinostomy

ENL-DCR:

Endonasal laser dacryocystorhinostomy

Ext-DCR:

External dacryocystorhinostomy

KTP:

Potassium titanyl phosphate

MMC:

Mitomycin C

PANDO:

Primary acquired nasolacrimal duct obstruction

RAI:

Radioactive iodine therapy

SANDO:

Secondary acquired nasolacrimal duct obstruction

YAG:

Yttrium aluminum garnet

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Author information

Authors and Affiliations

  1. Clínica de Oftalmología de Cali, Cali, Valle del Cauca, Colombia

    Angela Maria Dolmetsch

  2. Pontificia Universidad Javeriana, Cali, Valle del Cauca, Colombia

    Angela Maria Dolmetsch

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  1. Angela Maria Dolmetsch
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Editors and Affiliations

  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

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Dolmetsch, A.M. (2019). Adult Endoscopic Endonasal Dacryocystorhinostomy. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_43

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  • DOI: https://doi.org/10.1007/978-3-030-14092-2_43

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