Nasal Endoscopic Setup

Abstract

Endoscopic lacrimal surgery is increasing gaining foothold in the routine of a lacrimal surgeon. A well-designed operating room with well-trained assistants is as important as the instruments for an overall great setup. The major requirement is obviously a good endoscopic system, preferably a high-definition one for desirable surgical experiences [1–5]. For a transnasal endoscopic lacrimal surgery, a limited functional endoscopic sinus surgery set as well as ophthalmic set is required for all the necessary instruments. These should include a set of 4 and 2.7 mm telescopes with variable angles; fiber-optic light probe to guide to the position of the lacrimal sac; a 15 blade on a long, slim handle to provide adequate length for access within the nose; a Freer elevator for elevating the mucosal flap; a straight and 45° upturned Blakesley forceps for grasping bony and mucosal fragments; a microdebrider with a 4 mm Trucut blade for mucosal trimming and 2.5 mm diamond burr for bone removal; a standard sinus suction; a keratome for opening the lacrimal sac; and silicon lacrimal tubes if intubation is planned.