Vein grafting in nasolacrimal system reconstruction

Obliteration of the tract after conjunctivodacryocystorhinostomy is one of the main complications associated with the procedure. The use of a saphenous vein graft which covers the tube may aid in establishing an immediate lined tract for the tube when performing a conjunctivodacryocystorhinostomy. Another possible use for the vein graft is in anastomosing the parotid duct to the inferior cul-de-sac when performing a parotid duct transfer. The vein graft makes parotid duct transfer easier and helps control the amount of saliva delivered to the eye. A case report is presented.