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Modified canaliculo-dacryocystorhinostomy.

A K Grover¹, A K Gupta, A Rastogi

¹Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi.

Indian Journal of Ophthalmology

|October 1, 1991

Summary

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A modified canaliculodacryocystorhinostomy technique effectively managed common canalicular obstruction in 13 of 19 patients. This microsurgical approach offers a solution for complex cases, despite minor complications like tube extrusion.

Area of Science:

Ophthalmology
Otorhinolaryngology

Background:

Common canalicular obstruction presents management challenges.
Etiologies include unknown causes, trauma, mucoceles, and prior surgeries.

Purpose of the Study:

To evaluate the efficacy of a modified canaliculodacryocystorhinostomy technique for common canalicular obstruction.
To detail the surgical procedure, indications, and complication management.

Main Methods:

Nineteen patients underwent a modified canaliculodacryocystorhinostomy.
The technique involved microsurgical dissection, anastomosis, and silicone tube intubation with a metallic introducer.

Main Results:

The procedure was successful in 13 out of 19 patients.

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Follow-up ranged from 4 to 15 months.

Complications included tube extrusion and nasal bleeding.

Conclusions:

The modified canaliculodacryocystorhinostomy is a viable surgical option for common canalicular obstruction.
Careful technique and attention to precautions are essential to minimize complications.