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Technical note: computed tomographic dacryocystography.

Abstract

The technique of computed tomographic dacryocystography is described. It was developed in response to the pre-operative imaging requirements for transnasal endoscopic dacryocystorhinostomy, a new minimally invasive operation performed as a primary procedure to relieve epiphora. However, it is also helpful in the assessment of patients after failed conventional external dacryocystorhinostomy when the information provided will help to determine the subsequent surgical approach. In addition the technique will assist surgical planning in cases of epiphora associated with sinus surgery, facial trauma and maxillofacial tumours by determining the site and extent of pathology.

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D W Waite, H B Whittet, G A Shun-Shin. 1993. Technical note: computed tomographic dacryocystography.. https://doi.org/10.1259/0007-1285-66-788-711

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PURPOSE: To determine whether simultaneous silicone intubation of the osteotomy and the nasolacrimal duct is advantageous in some dacryocystorhinostomy procedures. METHODS: Silicone tubing was placed through both the osteotomy and the nasolacrimal duct in two patients who underwent dacryocystorhinostomy for dacryolithiasis. RESULTS: Postoperatively, signs and symptoms of nasolacrimal obstruction were relieved, and lacrimal irrigation confirmed anatomic patency of the tear drainage canals in both cases. CONCLUSIONS: Simultaneous intubation of the osteotomy and the nasolacrimal duct prevents prolapse of the silicone stent and may decrease the frequency of postoperative scarring.

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[Diaphanoscopic localization of tear ducts in endonasal dacryocystorhinostomy].

BACKGROUND: Endonasal dacryocystorhinostomy is a well established technique in the surgical treatment of stenosis of the lacrimal system. Due to individual anatomic variations it can be difficult and time consuming to localize the stenosis of the lacrimal system intraoperatively. METHODS AND PATIENTS: To simplify the localization of the lacrimal system, a diaphanoscopic technique that has been used in oral surgery was modified for endonasal dacryocystorhinostomy. A sterile optical fiber is passed through the lacrimal canal from the eye into the lacrimal sac or down to the stenosis. Its light can be detected in the nose and marks the sac or the stenosis. To date we have performed twelve operations with this technique. RESULTS: In our experience, endonasal dacryocystorhinostomy is simplified and accelerated by localizing the lacrimal system with diaphanoscopy. CONCLUSIONS: The diaphanoscopic localization of the lacrimal system during endonasal dacryocystorhinostomy is a slight technical modification that is simple and helpful and could therefore be incorporated into the surgical routine.

Dacryocystorhinostomy