Related Experiment Video
Updated: Jun 24, 2026
07:30
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Current status of dacryocystorhinostomy]
H-W Meyer-Rüsenberg1, S Vujancevic, K-H Emmerich
1Augenklinik, St. Josefs-Hospital, Universität Witten-Herdecke, Hagen, Deutschland. meyer-ruesenberg@kkh-hagen.de
Summary
External dacryocystorhinostomy (DCR) is the gold standard for treating lacrimal duct stenosis due to its high success rate. Future advancements in lacrimal duct surgery may involve improved wound healing understanding and combined surgical techniques.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Medical History
Context:
- Lacrimal duct stenosis treatment has evolved significantly from ancient practices to modern surgical interventions.
- Technological advancements like microscopes, endoscopes, and lasers have refined surgical techniques.
- Comparing diverse study methodologies in lacrimal duct surgery presents challenges.
Purpose:
- To review current surgical methods for lacrimal duct stenosis.
- To establish external dacryocystorhinostomy (DCR) as the benchmark for treatment efficacy.
- To highlight areas for future research and development in lacrimal surgery.
Summary:
- External DCR, pioneered by Toti, remains the gold standard for lacrimal duct stenosis treatment due to its proven success and ability to address multiple drainage issues.
- Endonasal approaches and various modifications, including mucous membrane flaps and advanced instrumentation, are also discussed.
- The article emphasizes the difficulty in comparing study results but underscores external DCR's benchmark status.
Impact:
- External DCR's high success rate solidifies its position as the preferred method for ophthalmologists.
- Future lacrimal duct surgery advancements hinge on a deeper understanding of wound healing for precise modulation.
- Combining surgical methods and conducting prospective studies are crucial for advancing lacrimal duct patency and patient outcomes.
Related Concept Videos
01:21Tracheostomy Decannulation
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:16Tracheostomy Care I: Pre-procedural Steps
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
01:26Tracheostomy Suctioning I: Pre-Procedural Steps
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
01:25Tracheostomy Care II: Procedure
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
01:28Tracheostomy: Procedure and Tubes
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...