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The Lacrimal System pp 223–235Cite as

Powered Endoscopic Dacryocystorhinostomy

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Conclusion

Powered endoscopic DCR allows the lacrimal sac to be fully exposed so that it stands proud of the lateral nasal wall after dissection. By fully preserving all the lacrimal mucosa during opening of the sac, the sac can be marsupialized into the lateral nasal wall, becoming part of the lateral nasal wall. This marsupialization is different from creating an ostium into the sac. Complete marsupialization decreases the l ikelihood of closure of the sac. In addition, preservation of the nasal mucosa allows this mucosal flap to be trimmed so that the nasal and lacrimal mucosa can be opposed to ensure primary intention healing rather than secondary intention healing and potentially lessens the risk of fibrosis and subsequent closure of the lacrimal ostium. Results of this procedure have proved to be reliable in primary, revision, and in pediatric DCRs.

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References

  1. McDonogh M, Meiring J. Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol 1989;103:585–587.

    PubMed  CAS  Google Scholar 

  2. Metson R. Endoscopic surgery for lacrimal obstruction. Otolaryngol Head Neck Surg 1991;104:473–479.

    PubMed  CAS  Google Scholar 

  3. Hartikainen J, Jukka A, Matti V, et al. Prospective randomized comparison of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy. Laryngoscope 1998;108:1861–1866.

    Article  PubMed  CAS  Google Scholar 

  4. Wormald PJ, Nilssen E. Endoscopic DCR: the team approach. Hong Kong J Ophthalmol 1998;1:71–74.

    Google Scholar 

  5. Javate RM, Campornanes BS, Nelson D, et al. The endoscope and the radiofrequency unit in DCR surgery. Ophthal Plast Reconstr Surg 1995;11(1):54–58.

    Article  PubMed  CAS  Google Scholar 

  6. Linberg J, Anderson R, Busted R, Barreras R. Study of intranasal ostium external dacryocystorhinostomy. Arch Ophthalmol 1982;100:1758–1762.

    PubMed  CAS  Google Scholar 

  7. Welham R, Wulc A. Management of unsuccessful lacrimal surgery. Br J Ophthalmol 1987;71:152–157.

    PubMed  CAS  Google Scholar 

  8. Wormald PJ, Kew J, Van Hasselt CA. The intranasal anatomy of the nasolacrimal sac in endoscopic dacryocystorhinostomy. Otolaryngol Head Neck Surg 2000;123:307–310.

    Article  PubMed  CAS  Google Scholar 

  9. Wormald PJ. Powered endonasal dacryocystorhinostomy. Laryngoscope 2002;112:69–71.

    Article  PubMed  Google Scholar 

  10. Tsirbas A, Wormald PJ. Endonasal dacryocystorhinostomy with mucosal flaps. Am J Opthalmol 2003;135(1):76–83.

    Article  Google Scholar 

  11. Wormald PJ, Tsirbas A. Investigation and treatment for functional and anatomical obstruction of the naso-lacrimal duct system. Clin Otolaryngol 2004;29:352–356.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Adelaide and Flinders Universities, Adelaide, Australia

    Peter John Wormald MD, FRACS, FRCS, FCS (SA), MBChB (Chairman, Otolaryngology Head and Neck Surgery)

  2. Department of Ophthalmology, Flinders University, Adelaide, Australia

    Angelo Tsirbas FRACO, AAFPS

  3. Department of Ophthalmology, Columbia University, New York, NY, 10032, USA

    Angelo Tsirbas FRACO, AAFPS

Authors
  1. Peter John Wormald MD, FRACS, FRCS, FCS (SA), MBChB
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  2. Angelo Tsirbas FRACO, AAFPS
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Editor information

Editors and Affiliations

  1. Eyelid and Facial Aesthetic and Reconstructive Surgery, Craniofacial Surgery, Neuro-Ophthalmology, Evanston, IL, 60201, USA

    Adam J. Cohen MD (Consulting Surgeon) (Consulting Surgeon)

  2. Department of Surgery, Doctor’s Hospital, Sarasota, FL, 34239, USA

    Michael Mercandetti MD, MBA, FACS (Attending Staff) (Attending Staff)

  3. Department of Ophthalmology, Weill Medical College of Cornell University, New York, NY, 10021

    Brian G. Brazzo MD (Clinical Assistant Professor, Director and Attending Surgeon) (Clinical Assistant Professor, Director and Attending Surgeon)

  4. Oculoplastics Service, Department of Ophthalmology, Maimonides Medical Center, Brooklyn, NY, 11219

    Brian G. Brazzo MD (Clinical Assistant Professor, Director and Attending Surgeon) (Clinical Assistant Professor, Director and Attending Surgeon)

  5. Oculoplastics Service, Department of Ophthalmology, Lincoln Hospital, Bronx, NY, 10451

    Brian G. Brazzo MD (Clinical Assistant Professor, Director and Attending Surgeon) (Clinical Assistant Professor, Director and Attending Surgeon)

  6. Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY, 10003, USA

    Brian G. Brazzo MD (Clinical Assistant Professor, Director and Attending Surgeon) (Clinical Assistant Professor, Director and Attending Surgeon)

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© 2006 Springer Science+Business Media, Inc.

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Wormald, P.J., Tsirbas, A. (2006). Powered Endoscopic Dacryocystorhinostomy. In: Cohen, A.J., Mercandetti, M., Brazzo, B.G. (eds) The Lacrimal System. Springer, New York, NY . https://doi.org/10.1007/978-0-387-35267-1_21

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  • DOI: https://doi.org/10.1007/978-0-387-35267-1_21

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-25385-5

  • Online ISBN: 978-0-387-35267-1

  • eBook Packages: MedicineMedicine (R0)

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