How about dacryocystorhinostomy under nasal endoscope?

summary

Chronic dacryocystitis is the most common disease in Ophthalmology, which is more common in women and the elderly. Due to the ineffective drug treatment, the effect of probing and intubation is not ideal, and the effect of laser treatment is difficult to be confirmed. At present, surgical treatment is still the main treatment. Dacryocystorhinostomy, as a classic surgical method, aims to directly anastomose the dacryocyst with the nasal mucosa, Secretions and tears can directly enter the middle nasal meatus from the inside to eliminate the purulent lesions of lacrimal sac and relieve the phenomenon of lacrimal overflow. How about dacryocystorhinostomy under nasal endoscope? Now let me tell you something.

How about dacryocystorhinostomy under nasal endoscope?

Dacryocystorhinostomy is suitable for all chronic dacryocystitis. Chronic dacryocystitis, nasolacrimal duct obstruction, such as, the internal capsule is also significantly reduced or atrophic rhinitis, the effect will be affected, the curative effect is difficult to be sure, if the lacrimal sac has acute inflammation, then, can not do surgery.

The main disadvantage of this method is that the vibration is large and the patient will feel uncomfortable. Some posterity advocate using bone drill to make holes, but it is often inconvenient because the soft tissue is bitten in. It is the most ideal method to make bone window with bone biting forceps.

The suture method is not sutured at first, and the commonly used method is to suture both flaps. When the anterior flap is sutured, only half of the periosteum is sutured, and the other half is pressed on the bone window by the nasal gauze, or the nasal gauze is pressed on the bone window without suturing. This is the suture method.

matters needing attention

In the operation, the lacrimal point is not on the surface, anesthesia lacrimal sac area, subcutaneous lacrimal sac top and nasolacrimal duct mouth, animals do not ask people anesthesia, the same as dacryocystectomy. The middle nasal meatus and the front end of the middle turbinate were filled with 1% dicaine and 0.5% ephedrine cotton tablets for 10 minutes. Anesthesia should be used during the operation, so it should not be painful.