XX Congresso della
Società Italiana di Chirurgia Maxillo Facciale
Comunicazioni della UO di Pescara al XX congresso SICMF:
Giuliano Ascani, Paolo Mancini, Francesco Berni Canani. Endonasal Dacryocystorhinostomy. Indications, patient selection and evolution of surgical technique.
Paolo Mancini, Giuliano Ascani. Approccio transcaruncolare alle fratture della parete mediale dell’orbita. Caso clinico.
Endonasal Dacryocystorhinostomy. Indications, patient selection and evolution of surgical technique.
Giuliano Ascani (1), Paolo Mancini (1), Francesco Berni Canani (2)
(1) UO di Chirurgia Maxillo Facciale, Ospedale Civile dello Spirito Santo, Pescara
(2) UO di ORL, Ospedale Civile dello Spirito Santo, Pescara
Dacryocystorhinostomy is an important treatment in the relief of tearing and recurrent dacryocistitis. Once performed only from an external approach, the advent of rigid endoscopes and dedicated instruments has made the endonasal approach the procedure of choice for almost all the surgeons. Advantages of the endonasal approach include lack of a cutaneous incision and excellent visualization of intranasal pathology, which is often the cause of dacryocystorhinostomy failure. A prospective series of 34 consecutive endonasal DCRs performed from January 2013 to October 2015 was entered into the study. Patients who had undergone previous lacrimal surgery were excluded. Surgery was performed by two surgeons using a standardized operative technique. Intubation of the lacrimal apparatus was performed in all operations and the tubes usually removed at 6 to 12 weeks postoperatively. Our study confirm that endonasal endoscopic dacryocystorhinostomy is a safe and effective procedure to correct nasolacrimal system obstruction. It has a high success rate and a low incidence of complications. A detailed medical history and evaluation of lacrimal apparatus is mandatory as well as the multidisciplinary approach (Maxillofacial, ENT and Ophtalmologist) to achieve the best long term results in dacryocystorinostomy.
Paolo Mancini, Giuliano Ascani
UO di Chirurgia Maxillo Facciale, Ospedale Civile dello Spirito Santo, Pescara