Translacrimal Transnasal Laser-Assisted Dacryocystorhinostomy
Chronic dacryocystitis is due to an obstruction in the nasolacrimal duct, with subsequent infection of the lacrimal sac. The goal of surgery is to reestablish intranasal drainage of the lacrimal sac. Classic dacry‐ocystorhinostomy (DCR) requires an external incision and drilling through the lacrimal...
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| Veröffentlicht in: | The Laryngoscope 1997-10, Vol.107 (10), p.1362-1365 |
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| container_title | The Laryngoscope |
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| creator | Pearlman, Steven J. Michalos, Peter Leib, Martin L. Moazed, Kambiz T. |
| description | Chronic dacryocystitis is due to an obstruction in the nasolacrimal duct, with subsequent infection of the lacrimal sac. The goal of surgery is to reestablish intranasal drainage of the lacrimal sac. Classic dacry‐ocystorhinostomy (DCR) requires an external incision and drilling through the lacrimal bone into the middle meatus. In our study a 600‐micron neodymium:YAG (Nd:YAG) fiber with a blunt hemispherical tip is inserted via the lacrimal puncta. An intranasal ostium is created with the laser under intranasal endoscopic control. Silicon tubes are then left in place for 6 months. We have performed 49 procedures over the past 2 1/2 years, with a success rate of 85% after one surgical procedure, which is commensurate with standard DCR. This procedure provides a simple, bloodless, incisionless alternative to standard DCR. |
| doi_str_mv | 10.1097/00005537-199710000-00013 |
| format | Article |
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The goal of surgery is to reestablish intranasal drainage of the lacrimal sac. Classic dacry‐ocystorhinostomy (DCR) requires an external incision and drilling through the lacrimal bone into the middle meatus. In our study a 600‐micron neodymium:YAG (Nd:YAG) fiber with a blunt hemispherical tip is inserted via the lacrimal puncta. An intranasal ostium is created with the laser under intranasal endoscopic control. Silicon tubes are then left in place for 6 months. We have performed 49 procedures over the past 2 1/2 years, with a success rate of 85% after one surgical procedure, which is commensurate with standard DCR. This procedure provides a simple, bloodless, incisionless alternative to standard DCR.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-199710000-00013</identifier><identifier>PMID: 9331314</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Biological and medical sciences ; Chronic Disease ; Dacryocystitis - surgery ; Dacryocystorhinostomy - methods ; Endoscopy - methods ; Female ; Humans ; Lacrimal Apparatus Diseases - surgery ; Laser Therapy ; Male ; Medical sciences ; Middle Aged ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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The goal of surgery is to reestablish intranasal drainage of the lacrimal sac. Classic dacry‐ocystorhinostomy (DCR) requires an external incision and drilling through the lacrimal bone into the middle meatus. In our study a 600‐micron neodymium:YAG (Nd:YAG) fiber with a blunt hemispherical tip is inserted via the lacrimal puncta. An intranasal ostium is created with the laser under intranasal endoscopic control. Silicon tubes are then left in place for 6 months. We have performed 49 procedures over the past 2 1/2 years, with a success rate of 85% after one surgical procedure, which is commensurate with standard DCR. This procedure provides a simple, bloodless, incisionless alternative to standard DCR.</description><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Dacryocystitis - surgery</subject><subject>Dacryocystorhinostomy - methods</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Lacrimal Apparatus Diseases - surgery</subject><subject>Laser Therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Treatment Outcome</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PGzEQhi0EointT6iUA-Lm1uOx4_WBQ8Rn1QgEoko5WY7XKxY2WfAkKvvv603SnLFkjcd-Z-b1w9gQxHcQ1vwQeWmNhoO1BvqM5w24xwagEbiyVu-zgRASeaHln0_sM9FzVhjU4pAdWkRAUAN2-pD8ghofUj33zXCdLTzl48RTTHxMVNMylsPzLOna0NGyTU_1os1x3n1hB5VvKH7dxiP2-_Li4eyaT26vfp6NJzwoLJCP1EiEsvIzlR1I1ChtUYqgKjBaxwghVKhmVkGoPKAFQDOrpAoylFKaQuIRO9n0fU3t2yrS0s1rCrFp_CK2K3LGohyBMllYbIQhtUQpVu61_1jqHAjXk3P_ybkdObcml0u_bWesZvNY7gq3qPL78fbdU_BNlUmFmnYyWWTj2Fs938j-1k3sPjzeTcb3j1orEPl27YZv2vT033dtfHpxI4NGu-nNlbu29vLXdHrn7vAftmyXOQ</recordid><startdate>199710</startdate><enddate>199710</enddate><creator>Pearlman, Steven J.</creator><creator>Michalos, Peter</creator><creator>Leib, Martin L.</creator><creator>Moazed, Kambiz T.</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199710</creationdate><title>Translacrimal Transnasal Laser-Assisted Dacryocystorhinostomy</title><author>Pearlman, Steven J. ; Michalos, Peter ; Leib, Martin L. ; Moazed, Kambiz T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4383-6460cdfab40012353298d0c4f1755ee1ccf34b941cfa1391137bf24c2cd227823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Dacryocystitis - surgery</topic><topic>Dacryocystorhinostomy - methods</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Lacrimal Apparatus Diseases - surgery</topic><topic>Laser Therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pearlman, Steven J.</creatorcontrib><creatorcontrib>Michalos, Peter</creatorcontrib><creatorcontrib>Leib, Martin L.</creatorcontrib><creatorcontrib>Moazed, Kambiz T.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pearlman, Steven J.</au><au>Michalos, Peter</au><au>Leib, Martin L.</au><au>Moazed, Kambiz T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Translacrimal Transnasal Laser-Assisted Dacryocystorhinostomy</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1997-10</date><risdate>1997</risdate><volume>107</volume><issue>10</issue><spage>1362</spage><epage>1365</epage><pages>1362-1365</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Chronic dacryocystitis is due to an obstruction in the nasolacrimal duct, with subsequent infection of the lacrimal sac. The goal of surgery is to reestablish intranasal drainage of the lacrimal sac. Classic dacry‐ocystorhinostomy (DCR) requires an external incision and drilling through the lacrimal bone into the middle meatus. In our study a 600‐micron neodymium:YAG (Nd:YAG) fiber with a blunt hemispherical tip is inserted via the lacrimal puncta. An intranasal ostium is created with the laser under intranasal endoscopic control. Silicon tubes are then left in place for 6 months. We have performed 49 procedures over the past 2 1/2 years, with a success rate of 85% after one surgical procedure, which is commensurate with standard DCR. This procedure provides a simple, bloodless, incisionless alternative to standard DCR.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>9331314</pmid><doi>10.1097/00005537-199710000-00013</doi><tpages>4</tpages></addata></record> |
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| ispartof | The Laryngoscope, 1997-10, Vol.107 (10), p.1362-1365 |
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| language | eng |
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| source | MEDLINE; Wiley Journals; Journals@Ovid Ovid Autoload |
| subjects | Biological and medical sciences Chronic Disease Dacryocystitis - surgery Dacryocystorhinostomy - methods Endoscopy - methods Female Humans Lacrimal Apparatus Diseases - surgery Laser Therapy Male Medical sciences Middle Aged Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Treatment Outcome |
| title | Translacrimal Transnasal Laser-Assisted Dacryocystorhinostomy |
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