Endonasal Dacryocystorhinostomy I. (General Part)

Authors: P. Komínek;  S. Červenka *;  R. Lenert
Authors‘ workplace: ORL oddělení Nemocnice ve Frýdku Místku, primář MUDr. P. Komínek, Ph. D. Oční ambulance Otrokovice *
Published in: Otorinolaryng. a Foniat. /Prague/, , 2002, No. 2, pp. 115-120.


The authors present a review of indications, contraindications and surgical proceduresin endonasal dacryocystorhinostomy (EDCR). The optimal indication for surgery are subsaccal andsaccal obstructions. The results of surgery are improved by resection of the medial concha and theintroduction of silicone stents, possibly anterior ethmoidectomy or locally administered cytostatics(Mitomycin C). Septoplasty reduces the risk of development of adhesions in the nasal cavity.Peroperative treatment does not differ from other endonasal operations. In the foregrouns are inparticular lavages of the nasal cavity with tepid mineral water.

Key words:
endonasal dacryocystorhinostomy, indications and contraindications, surgicalprocedure, complications.

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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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