Mucoperiosteal and lacrimal sac flap anastomosis with ligating clips in revision dacryocystorhinostomy
European Archives of Oto-Rhino-Laryngology, cilt.282, sa.1, ss.555-558, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 282 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.1007/s00405-024-08960-y
- Dergi Adı: European Archives of Oto-Rhino-Laryngology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE
- Sayfa Sayıları: ss.555-558
- Anahtar Kelimeler: Endoscopic dacryocystorhinostomy, Revision surgery, Ligating clips
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Although endoscopic dacryocystorhinostomy (EDCR) has been performed successfully in primary and revision cases, there has yet to be a consensus on the best surgical approach. Methods: Excessive granulation, adhesion, and fibrosis, the main causes of unsuccessful EDCR, should be expected more frequently in revision surgery. Anastomosis by ligating the nasal mucoperiosteum and lacrimal sac flaps with clips can minimise the surface of exposed bone, therefore, the possibility of stenosis and failure of the dacryocystorhinostomy. Conclusions: In 12 revision EDSR patients, ligating clips ensured an anatomical overlap of the mucoperiosteum and sac flap, providing a wider rhinostomy opening and straight epithelial lining.