Endoscopic dacryocystorhinostomy

Marina N. Cavada; Jessica W. Grayson; Raymond Sacks

doi:10.1007/s40136-019-00236-y

Endoscopic dacryocystorhinostomy

Marina N. Cavada^*, Jessica W. Grayson, Raymond Sacks

^*Corresponding author for this work

Faculty of Medicine, Health and Human Sciences

Research output: Contribution to journal › Review article › peer-review

Abstract

Purpose of the Review: Endoscopic dacryocystorhinostomy (DCR) is a recognized procedure performed to treat epiphora caused by anatomical or functional obstruction of the nasolacrimal apparatus. The purpose of this review is to discuss our experience with the endoscopic approach to DCR. Recent Findings: Nasolacrimal duct dysfunction has many different etiologies. The diagnosis is clinical, so a thorough clinical history and physical exam are required to confirm the diagnosis of epiphora. The etiology is confirmed with further exams including the dye disappearance test, Jones tests, endoscopic evaluation, and imaging when required. Endoscopic DCR provides a better visualization of the surgical field than the previously described external approach. Summary: An understanding of the endonasal and lacrimal apparatus anatomy, the importance of wide marsupialization of the lacrimal sac, and meticulous care with the mucosa are crucial for the success of the procedure.

Original language	English
Pages (from-to)	141-146
Number of pages	6
Journal	Current Otorhinolaryngology Reports
Volume	7
Issue number	2
DOIs	https://doi.org/10.1007/s40136-019-00236-y
Publication status	Published - 15 Jun 2019

Keywords

Dacryocystitis
Dacryocystorhinostomy
Endoscopic surgical procedure
Epiphora
Lacrimal apparatus diseases
Lacrimal duct obstruction

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10.1007/s40136-019-00236-y

Cite this

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title = "Endoscopic dacryocystorhinostomy",

abstract = "Purpose of the Review: Endoscopic dacryocystorhinostomy (DCR) is a recognized procedure performed to treat epiphora caused by anatomical or functional obstruction of the nasolacrimal apparatus. The purpose of this review is to discuss our experience with the endoscopic approach to DCR. Recent Findings: Nasolacrimal duct dysfunction has many different etiologies. The diagnosis is clinical, so a thorough clinical history and physical exam are required to confirm the diagnosis of epiphora. The etiology is confirmed with further exams including the dye disappearance test, Jones tests, endoscopic evaluation, and imaging when required. Endoscopic DCR provides a better visualization of the surgical field than the previously described external approach. Summary: An understanding of the endonasal and lacrimal apparatus anatomy, the importance of wide marsupialization of the lacrimal sac, and meticulous care with the mucosa are crucial for the success of the procedure.",

keywords = "Dacryocystitis, Dacryocystorhinostomy, Endoscopic surgical procedure, Epiphora, Lacrimal apparatus diseases, Lacrimal duct obstruction",

author = "Cavada, {Marina N.} and Grayson, {Jessica W.} and Raymond Sacks",

year = "2019",

month = jun,

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doi = "10.1007/s40136-019-00236-y",

language = "English",

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journal = "Current Otorhinolaryngology Reports",

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TY - JOUR

T1 - Endoscopic dacryocystorhinostomy

AU - Cavada, Marina N.

AU - Grayson, Jessica W.

AU - Sacks, Raymond

PY - 2019/6/15

Y1 - 2019/6/15

N2 - Purpose of the Review: Endoscopic dacryocystorhinostomy (DCR) is a recognized procedure performed to treat epiphora caused by anatomical or functional obstruction of the nasolacrimal apparatus. The purpose of this review is to discuss our experience with the endoscopic approach to DCR. Recent Findings: Nasolacrimal duct dysfunction has many different etiologies. The diagnosis is clinical, so a thorough clinical history and physical exam are required to confirm the diagnosis of epiphora. The etiology is confirmed with further exams including the dye disappearance test, Jones tests, endoscopic evaluation, and imaging when required. Endoscopic DCR provides a better visualization of the surgical field than the previously described external approach. Summary: An understanding of the endonasal and lacrimal apparatus anatomy, the importance of wide marsupialization of the lacrimal sac, and meticulous care with the mucosa are crucial for the success of the procedure.

AB - Purpose of the Review: Endoscopic dacryocystorhinostomy (DCR) is a recognized procedure performed to treat epiphora caused by anatomical or functional obstruction of the nasolacrimal apparatus. The purpose of this review is to discuss our experience with the endoscopic approach to DCR. Recent Findings: Nasolacrimal duct dysfunction has many different etiologies. The diagnosis is clinical, so a thorough clinical history and physical exam are required to confirm the diagnosis of epiphora. The etiology is confirmed with further exams including the dye disappearance test, Jones tests, endoscopic evaluation, and imaging when required. Endoscopic DCR provides a better visualization of the surgical field than the previously described external approach. Summary: An understanding of the endonasal and lacrimal apparatus anatomy, the importance of wide marsupialization of the lacrimal sac, and meticulous care with the mucosa are crucial for the success of the procedure.

KW - Dacryocystitis

KW - Dacryocystorhinostomy

KW - Endoscopic surgical procedure

KW - Epiphora

KW - Lacrimal apparatus diseases

KW - Lacrimal duct obstruction

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Endoscopic dacryocystorhinostomy

Abstract

Keywords

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