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Two new forceps for use during and after dacryocystorhinostomy
Masaru Yoshii1, Shigekuni Okisaka, Akihiko Yoshioka
1Department of Ophthalmology, National Defense Medical College, Tokorozawa-shi, Saitama-ken, Japan. masaru33@me.ndmc.ac.jp
American Journal of Ophthalmology
|February 28, 2002
Summary
Two new surgical forceps enhance external dacryocystorhinostomy (E-DCR) procedures. These instruments effectively grasp flaps and clear discharge, improving surgical outcomes.
Area of Science:
- Ophthalmology
- Surgical Instrumentation
Background:
- External dacryocystorhinostomy (E-DCR) is a surgical procedure to restore tear drainage.
- Standard ophthalmic forceps may present challenges in the narrow surgical field of E-DCR.
Purpose of the Study:
- To introduce and describe two novel forceps designed for E-DCR surgery.
- To evaluate the utility of these instruments during and after the procedure.
Main Methods:
- Development of specialized E-DCR forceps, modified from ophthalmic forceps for grasping posterior flaps.
- Design of washout forceps incorporating an injector tip for nasal discharge removal during transnasal endoscopic (TNE) examination.
Main Results:
- Successful performance of 28 E-DCR procedures in 25 patients using the new E-DCR forceps.
- The E-DCR forceps demonstrated utility in suturing posterior flaps in all cases.
- The washout forceps effectively removed impacted discharge that was difficult to aspirate.
Conclusions:
- The developed E-DCR forceps and washout forceps are beneficial tools for E-DCR surgery.
- These instruments enhance surgical efficiency and effectiveness during and after the procedure.