Mucoperiosteal and lacrimal sac flap anastomosis with ligating clips in revision dacryocystorhinostomy

Ilker Burak Arslan; Isa Dagli; Ibrahim Cukurova

doi:10.1007/s00405-024-08960-y

Mucoperiosteal and lacrimal sac flap anastomosis with ligating clips in revision dacryocystorhinostomy

Eur Arch Otorhinolaryngol. 2024 Sep 13. doi: 10.1007/s00405-024-08960-y. Online ahead of print.

Authors

Ilker Burak Arslan¹, Isa Dagli², Ibrahim Cukurova²

Affiliations

¹ Department of Otorhinolaryngology, Head and Neck Surgery, University of Health Sciences Izmir Tepecik Training and Research Hospital, Gaziler Bulvarı No:468 Yenişehir, Konak, İzmir, Turkey. ilkerburakarslan@hotmail.com.
² Department of Otorhinolaryngology, Head and Neck Surgery, University of Health Sciences Izmir Tepecik Training and Research Hospital, Gaziler Bulvarı No:468 Yenişehir, Konak, İzmir, Turkey.

PMID: 39271592
DOI: 10.1007/s00405-024-08960-y

Abstract

Background: Although endoscopic dacryocystorhinostomy (EDCR) has been performed successfully in primary and revision cases, there has yet to be a consensus on the best surgical approach.

Methods: Excessive granulation, adhesion, and fibrosis, the main causes of unsuccessful EDCR, should be expected more frequently in revision surgery. Anastomosis by ligating the nasal mucoperiosteum and lacrimal sac flaps with clips can minimise the surface of exposed bone, therefore, the possibility of stenosis and failure of the dacryocystorhinostomy.

Conclusions: In 12 revision EDSR patients, ligating clips ensured an anatomical overlap of the mucoperiosteum and sac flap, providing a wider rhinostomy opening and straight epithelial lining.

Keywords: Endoscopic dacryocystorhinostomy; Ligating clips; Revision surgery.