TY - JOUR
T1 - Endoscopic dacryocystorhinostomy
AU - Shoshani, Yochai Z.
AU - Milstein, Asher
AU - Pollack, Ayala
AU - Kleinmann, Guy
PY - 2012/4
Y1 - 2012/4
N2 - External dacryocystorhinostomy (DCR) was originally described in 1904 by Toti and is considered the criterion standard of lacrimal bypass surgeries. Success rates greater than 90% are common with this technique, but disadvantages, such as skin incision and disruption of the medial canthal ligament causing dysfunction of the lacrimal pump, have led to the evolution of endonasal endoscopic DCR. Several studies have shown endoscopic DCR to have comparable surgical outcome to external DCR and thus, owing to its advantages of being cosmetically more appealing, and less hurtful to the lacrimal pump system, it appears that endoscopic DCR may become the gold standard of treating epiphora and/or dacryocystitis in the future. The anatomy of the lacrimal system, the surgical technique of endonasal endoscopic DCR and several important issues regarding endoscopic DCR, such as the use of mitomycin-C, the need for silicone intubation and a comparison between external and endoscopic DCR, will be discussed.
AB - External dacryocystorhinostomy (DCR) was originally described in 1904 by Toti and is considered the criterion standard of lacrimal bypass surgeries. Success rates greater than 90% are common with this technique, but disadvantages, such as skin incision and disruption of the medial canthal ligament causing dysfunction of the lacrimal pump, have led to the evolution of endonasal endoscopic DCR. Several studies have shown endoscopic DCR to have comparable surgical outcome to external DCR and thus, owing to its advantages of being cosmetically more appealing, and less hurtful to the lacrimal pump system, it appears that endoscopic DCR may become the gold standard of treating epiphora and/or dacryocystitis in the future. The anatomy of the lacrimal system, the surgical technique of endonasal endoscopic DCR and several important issues regarding endoscopic DCR, such as the use of mitomycin-C, the need for silicone intubation and a comparison between external and endoscopic DCR, will be discussed.
KW - dacryocystitis
KW - endoscopic dacryocystorhinostomy
KW - epiphora
KW - external dacryocystorhinostomy
UR - http://www.scopus.com/inward/record.url?scp=84859194691&partnerID=8YFLogxK
U2 - 10.1586/eop.12.15
DO - 10.1586/eop.12.15
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AN - SCOPUS:84859194691
SN - 1746-9899
VL - 7
SP - 153
EP - 159
JO - Expert Review of Ophthalmology
JF - Expert Review of Ophthalmology
IS - 2
ER -