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Dacryocystorhinostomy

  • İbrahim Çukurova
  • İlker Burak Arslan
  • Jivianne T. Lee
Chapter

Abstract

Obstruction of the nasolacrimal duct (NLDO) may be primary, in which case the cause is unknown, but consists of either a functional or a physical blockage to the path tears take in drainage, or acquired, in which case the drainage is blocked through infective, inflammatory or traumatic (fracture affecting facial bones) processes, or surgical interventions (such as those affecting the sinus, or maxillofacial oncological surgery). Acquired NLDO is the number one reason for epiphora. The lacrimal system can be obstructed anywhere along the entirety of its length. Obstruction is classified as pre-sac (affecting the common canaliculus), sac related, or post-sac, according to the anatomical location of the obstruction. Traditionally, acquired NLDO is treated by external dacryocystorhinostomy (DCR), but this procedure is reported to fail in 5–15% of cases. Advances in endonasal endoscopy for diagnostic and therapeutic use have enabled the development of endoscopic DCR (EDCR) as an alternative treatment for NLDO. As the technique is associated with a higher rate of success and less attendant morbidity than external DCR, EDCR has, in many cases, replaced the older technique both for initial treatment and where surgical revision is necessary. Use of the endoscope has led to greater surgical access to every part of the nasal cavity. Due to the possibility of obtaining angled views and the small-calibre design of the endoscope, the interior of the nose can be visualised in excellent detail and the lacrimal sac located and opened relatively easily.

Keywords

Dacryocystorhinostomy Nasolacrimal duct Endoscopic dacryocystorhinostomy Obstruction Lacrimal system 

References

  1. 1.
    Linberg JV, Mc Cormick SA. Primary acquired nasolacrimal duct obstruction; a clinicopathologic report and biopsy technique. Ophthalmology. 1986;93:1055–63.CrossRefGoogle Scholar
  2. 2.
    MacEven CJ, Young JDH, Barras CW, Ram B, White PS. Value of nasal endoscopy and probing in the diagnosis and management of children with congenital epiphora. Br J Ophtalmol. 2001;85:314–8.CrossRefGoogle Scholar
  3. 3.
    Cinal A, Kutluhan A, Yaşar T, Şimşek Ş, Kırış M, İçli M. The comparison of the internal and external methods in the surgical treatment of chronic dacryocystitis. T Oft Gaz. 1999;29:292–7.Google Scholar
  4. 4.
    Küpper DS, Demarco RC, Resende R, et al. Endoscopic nasal dacryocystorhinostomy: result and advantages over the external approach. Braz J Otorhinolaryngol. 2005;71:356–60.CrossRefGoogle Scholar
  5. 5.
    Rasan MI, Shailendra S, Prepageran N, Gopala K, Sathananthar KS. Endoscopic dacryocystorhinostomy. Med J Malaysia. 2008;63(2):143–5.PubMedGoogle Scholar
  6. 6.
    Benger R, Forer M. Endonasal dacryocystorhinostomy primary and secondary. Aust N Z J Ophthalmol. 1993;21(3):157–9.PubMedGoogle Scholar
  7. 7.
    Rice DH. Endoscopic intranasal dacryocystorhinostomy in four patients. Arch Otolaryngol Head Neck Surg. 1990;116(9):1061.CrossRefGoogle Scholar
  8. 8.
    Mcdonogh M. Endoscopic transnasal dacryocystorhinostomy. Endoscopic transnasal dacryocystorhinostomy. Results in 21 patients. S Afr J Surg. 1992;30(3):107–10.PubMedGoogle Scholar
  9. 9.
    Roithmann R, Burman T, Wormald PJ. Endoscopic dacryocystorhinostomy. Braz J Otorhinolaryngol. 2012;78(6):113–21.CrossRefGoogle Scholar
  10. 10.
    Buerger DG, Flanagan JC, Campbell CB. Introduction to lacrimal disease. In: Nesi FA, Lisman RD, Levine MR, Brazzo BG, Gladstone GJ, editors. Smith’s ophthalmic plastic and reconstructive surgery. St Louis: Mosby-Year Book; 1986. p. 639–42.Google Scholar
  11. 11.
    Burkat CN, Lemke BN. Anatomy of the orbit and its related structures. Otolaryngol Clin N Am. 2005;38:825–56.CrossRefGoogle Scholar
  12. 12.
    Farahani F. Endoscopic dacryocystorhinostomy. In: Gendeh BS, editor. Otolaryngology. Changzhou: In Tech; 2012. p. 49–60.Google Scholar
  13. 13.
    Lang J. Clinical anatomy of the nose, nasal cavity and paranasal sinuses. New York: Thieme Medical; 1989. p. 99–102.Google Scholar
  14. 14.
    Toti A. Nuovo Metodo conservatore dicura radicale delle suppurazione croniche del sacco lacrimale (dacricistorhinostomia). Clin Mod (Firenze). 1904;10:385–9.Google Scholar
  15. 15.
    Madge SN, Selva D. Intubation in routine dacryocystorhinostomy: why we do what we do. Clin Exp Ophthalmol. 2009;37(6):620–3.CrossRefGoogle Scholar
  16. 16.
    Chandler PA. Dacryocystorhinostomy. Trans Am Opthalmol Soc. 1936;34:240–63.Google Scholar
  17. 17.
    Henderson JW. Management of strictures of the lacrimal canaliculi with polyethylene tubes. Arch Ophthalmol. 1950;44(2):198–203.CrossRefGoogle Scholar
  18. 18.
    Huggert A. The treatment of stenosis of the lacrimal canaliculi. Acta Ophthalmol. 1959;37:355–8.CrossRefGoogle Scholar
  19. 19.
    Björk H. Endonasal surgery of the lacrimal passages: dacryocystorhinostomy and canaliculorhinostomy with intubation. Acta Otolaryngol. 1966;224:161–3.Google Scholar
  20. 20.
    Gibbs DC. New probe for the intubation of lacrimal canaliculi with silicone rubber tubing. Br J Ophthalmol. 1967;51(3):198.CrossRefGoogle Scholar
  21. 21.
    Fernandes SV. Dacryocystorhinostomy. In: Meyers AD, editor. Medscape. http://emedicine.medscape.com/article/879096-overview (Accessed online at Jan 17, 2016).
  22. 22.
    Tsirbas A, Wormald PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Otolaryngol Clin N Am. 2006;39(5):1019–36.CrossRefGoogle Scholar
  23. 23.
    Wormald PJ. Powered endoscopic dacryocystorhinostomy. Otolaryngol Clin N Am. 2006;39:539–49.CrossRefGoogle Scholar
  24. 24.
    Longari F, Dehgani Mobaraki P, Ricci AL, Lapenna R, Cagini C, Ricci G. Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study. Eur Arch Otorhinolaryngol. 2016;273:2079.CrossRefGoogle Scholar
  25. 25.
    Woog JJ, Metson R, Puliafito CA. Holmium: YAG endonasal laser dacryocystorhinostomy. Am J Opthalmol. 1993;116:1–10.CrossRefGoogle Scholar
  26. 26.
    Metson R, Woog JJ, Puliafito CA. Endoscopic laser dacryocystorhinostomy. Laryngoscope. 1994;104:269–74.PubMedGoogle Scholar
  27. 27.
    Mannor GE, Millman AL. The prognostic value of preoperative dacryocystography in endoscopic intranasal dacryocystorhinostomy. Am J Opthalmol. 1992;113:134–7.CrossRefGoogle Scholar
  28. 28.
    Cukurova I, Mercan GC, Cetinkaya E, Gumussoy M, Soken H. Endoscopic dacryocystorhinostomy: outcomes using mucosal flap preserving technique. Eur Arch Otorhinolaryngol. 2013;270(5):1661–6.  https://doi.org/10.1007/s00405-012-2285-z.CrossRefPubMedGoogle Scholar
  29. 29.
    Herzallah I, Alzuraigi B, Bawazeer N, Marglani O, Alherabi A, Moammed SK, Al-Qahtani K, Al-Khatib T, Alghamdi A. Endoscopic dacryocystorhinostomy (DCR): a comparative study between powered and non-powered technique. J Otolaryngol Head Neck Surg. 2015;44(1):56.  https://doi.org/10.1186/s40463-015-0109-z.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Onerci M, Orhan M, Ogretmenoglu O, Irkec M. Long-term results and reasons for failure of intranasal endoscopic dacryocystorhinostomy. Acta Otolaryngol. 2000;120(2):319–22.CrossRefGoogle Scholar
  31. 31.
    Prakash MD, Viswanatha B, Rasika R. Powered endoscopic endonasal dacryocystorhinostomy with mucosal flaps and trimming of anterior end of middle turbinate. Indian J Otolaryngol Head Neck Surg. 2015;67(4):333–7.  https://doi.org/10.1007/s12070-014-0807-2. Epub 2014 Nov 29.CrossRefPubMedGoogle Scholar
  32. 32.
    Whittet HB, Shun-Shin GA, Awdry P. Functional endoscopic transnasal dacryocystorhinostomy. Eye. 1993;7:545–9.CrossRefGoogle Scholar
  33. 33.
    Kong YT, Kim TI, Byung WK. A report of 131 cases of endoscopic laser lacrimal surgery. Opthalmology. 1994;101:1793–800.CrossRefGoogle Scholar
  34. 34.
    Bartley GB. Acquired lacrimal drainage obstruction: an etiologic classification system, case reports and review of literature. Opthalmol Plast Reconstr Surg. 1992;8:237–42.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • İbrahim Çukurova
    • 1
  • İlker Burak Arslan
    • 1
  • Jivianne T. Lee
    • 2
  1. 1.Department of OtorhinolaryngologyUniversity of Health Sciences, Tepecik Training and Research HospitalİzmirTurkey
  2. 2.Rhinology and Endoscopic Skull Base Surgery, Department of Head and Neck SurgeryUniversity of California Los Angeles School of MedicineLos AngelesUSA

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