PubMed · 5010925
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H E Henkes. 1972-03-18. [Lacririmal flow].. https://pubmed.ncbi.nlm.nih.gov/5010925/
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PURPOSE: To report two new forceps for use during and after external dacryocystorhinostomy (E-DCR). Description of surgical instruments is provided. METHODS: Interventional case series. The E-DCR forceps were modified from the usual ophthalmic forceps, and they were designed for grasping the posterior flaps in the narrow and deep surgical region. The washout forceps under the transnasal endoscopic (TNE) examination consists of the usual otolaryngeal forceps with an injector tip at the apex to wash out discharge around the ostium in the nasal cavity. RESULTS: In consecutive 28 E-DCR procedures cases (25 patients), E-DCR was successfully performed using the E-DCR forceps. This forceps was useful to suture the posterior flaps in all cases. The washout forceps was available to remove the congealed discharge that could not be aspirated. CONCLUSION: These two forceps proved to be useful during and after the E-DCR procedure.
Disorders in lacrimal passage are often caused by anatomotopographic peculiarities of the nasolacrimal tract. Surgical treatments of such patients are reviewed. The authors made endoscopic endonasal dacryocystorhinostomy in 34 patients with good results. How to achieve good functional outcomes is described.
Silicone intubation is commonly performed to maintain patency of the lacrimal drainage system. We describe a new lacrimal groove director, designed to simplify retrieval of the metal Crawford probe with minimal trauma to the nasal mucosa. This instrument can also be used to infracture or medialize the inferior turbinate in both pediatric and adult populations during nasolacrimal duct intubation or external or endoscopic dacryocystorhinostomy.