Injury to the lacrimal apparatus after endoscopic sinus surgery: Surgical implications from active transport dacryocystography

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dc.contributor.authorUnlu H.H.
dc.contributor.authorGoktan C.
dc.contributor.authorAslan A.
dc.contributor.authorTarhan S.
dc.date.accessioned2024-07-22T08:25:31Z
dc.date.available2024-07-22T08:25:31Z
dc.date.issued2001
dc.description.abstractIn order to evaluate the lacrimal drainage system injury after functional endoscopic sinus surgery, surgical records and postoperative active transport dacryocystography imaging of 31 patients were analyzed. Presence of the lacrimal bone dehiscence and no passage of the contrast material into the inferior meatus were noted as the signs of injury to the lacrimal canal on active transport dacryocystography. Bony dehiscence was detected in 53.2% of the operated sides but 20% of the nonoperated sides. No passage of the contrast material into the inferior meatus was observed in 14.9% of the operated sides. There were no cases of epiphora postoperatively. The lacrimal drainage system injury was more frequently observed on the left sides operated. We conclude that lacrimal drainage system injury might occur in various extents during functional endoscopic sinus surgery. However, it does not necessarily result in postoperative epiphora. Performing the middle meatal antrostomy in posteroinferior direction, and uncinectomy with backbiting forceps or a shaver might help in reducing the lacrimal injury. Active transport dacryocystography can be adopted as an alternative diagnostic tool in detection of the lacrimal injury.
dc.identifier.DOI-ID10.1067/mhn.2001.112433
dc.identifier.issn01945998
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20470
dc.language.isoEnglish
dc.publisherMosby Inc.
dc.subjectactive transport
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectclinical article
dc.subjectcontrast enhancement
dc.subjectdacryocystography
dc.subjectendoscopic surgery
dc.subjectepiphora
dc.subjectethmoidectomy
dc.subjectfemale
dc.subjecthuman
dc.subjectinjury
dc.subjectlacrimal apparatus
dc.subjectmale
dc.subjectnose reconstruction
dc.subjecttreatment indication
dc.subjectwound drainage
dc.titleInjury to the lacrimal apparatus after endoscopic sinus surgery: Surgical implications from active transport dacryocystography
dc.typeArticle

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