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[Intraoperative prevention of dacryocystitis relapse].
E L At'kova1, O V Zhukov1, N N Krakhovetskiy1
1Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.
Vestnik Oftalmologii
|December 1, 2018
Summary
Preventing scar tissue after endoscopic dacryocystorhinostomy involves using specialized flaps or implants. These intraoperative techniques aim to avoid complications like dacryostoma narrowing and disease relapse.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Endonasal endoscopic dacryocystorhinostomy is a common surgical procedure.
- Postoperative complications include granulation tissue, synechiae, and dacryostoma narrowing, leading to disease relapse.
Purpose of the Study:
- To review modern intraoperative methods for preventing cicatricial processes after endonasal endoscopic dacryocystorhinostomy.
- To identify effective strategies for minimizing postoperative complications and ensuring surgical success.
Main Methods:
- Literature review of studies on intraoperative prevention of cicatricial process.
- Analysis of techniques involving flaps from the lacrimal sac or nasal mucosa.
- Evaluation of dacryostoma intubation with lacrimal implants.
Main Results:
- Various flap constructions and lacrimal implants are employed to prevent dacryostoma closure.
- These methods can be used independently or in combination.
- Effective prevention strategies are crucial for reducing postoperative complications and relapses.
Conclusions:
- Modern intraoperative techniques significantly improve outcomes after endonasal endoscopic dacryocystorhinostomy.
- Flap construction and dacryostoma intubation are key methods for preventing cicatricial complications.
- Continued research and application of these methods are essential for successful treatment.
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