Dacryocystorhinostomy : a review of personal results

Abstract EN

One cause of epiphora or abnormal tearing occurs due to blockage in the lacrimal drainage system, impairing normal tear channelling into the nose.

Recurrent infection may also occur as a result of the stagnation.

The dacryocystorhinostomy operation, which involves fistulisation of the lacrimal sac into the nasal cavity, may alleviate the symptoms.

The operative approach to the sac may be external or nasendoscopic. Herein is presented the results on a series of 28 primary nasendoscopic operations. Given the significantly diminished morbidity for the patient and the relative facility of the technique for the surgeon, the endoscopic approach should enter the armamentarium of all trained in nasal endoscopic surgery.

With the newer transcanalicular laser probes this operation has the potential to become a minor "office" surgical procedure.