Endoscopic anatomy of the lacrimal sac for dacryocystorhinostomy

Alherabi, Ameen Z.; Marglani, Osama; Herzallah, Islam R.; Shaibah, Hassan; Alaidarous, Tariq; Alkaff, Haddad; Farooq, Mian Usman; Bamahfouz, Ashjan; Al-Khatib, Talal; Marzouki, Hani

doi:10.15537/smj.2017.3.15937

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…In a Taiwanese study, the lacrimal bone thickness was found to be higher in males (18). However, the reported measurements in the Taiwanese study (male, 5.8 ± 0.9 mm; female, 4.2 ± 0.8 mm) were much higher than those in other documented results (10,11,15,(19)(20)(21)(22). In our study, the thicknesses of both maxillary and lacrimal bones were higher in males at all three axial planes.…”

Section: Discussioncontrasting

confidence: 83%

Morphometric Evaluation of the Lacrimal Sac Fossa in Anatolian Population Using Multidetector Computed Tomography

Erdem

Pehlivan²,

DOĞAN

et al. 2022

Harran Üniversitesi Tıp Fakültesi Dergisi

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Amaç: Anadolu toplumunda, fossa sacci lacrimalis’in morfometrik özelliklerini cerrahi açıdan mul-tidedektör bilgisayarlı tomografi (MDBT) görüntüleri kullanarak araştırmak.Materyal ve Metod: Toplam 77 kranial MDBT taraması değerlendirildi. Fossa sacci lacrimalis’i oluştu-ran maxilla ve os lacrimale’ye ait kemik kısımlarının boyutları 3 aksiyal düzlemde (üst, orta ve alt düzlem) ölçüldü.Bulgular: Üst, orta ve alt düzlemlerde maxilla’nın ortalama maksimum kalınlığı: 3,58 mm, 4,27 mm ve 5,81 mm; tüm düzlemlerde ortalama orta nokta kalınlığı: 2,76 mm, 2,51 mm ve 1,48 mm; tüm düzlem-lerde ortalama os lacrimale kalınlığı: 0,72 mm, 0,65 mm ve 0,66 mm; tüm düzlemlerde crista lacrimalis anterior maxillae ve crista lacrimalis posterior arasındaki ortalama mesafe: 5,96 mm, 8,1 mm ve 4,63 mm; orta düzlemde erkek ve kadınlarda os lacrimale ile sagital düzlem arasındaki ortalama açı: 132.73° ve 131.46°; erkek ve kadınlarda fossa sacci lacrimalis’in ortalama uzunluğu: 15.82 mm ve 14.02 mm olarak ölçüldü.Sonuç: Anadolu toplumunda fossa sacci lacrimalis’in kemik kalınlıkları erkeklerde daha yüksek iken, os lacrimale ile sagital düzlem arasındaki açı kadınlarda daha yüksek bulundu. Bu çalışma, dakriyosis-torinostomi (DSR) girişimlerinin ana hedefi olan osteotomilerin Anadolu toplumunda kolaylıkla yapı-labileceğini göstermiştir

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Section: Discussioncontrasting

confidence: 83%

Morphometric Evaluation of the Lacrimal Sac Fossa in Anatolian Population Using Multidetector Computed Tomography

Erdem

Pehlivan²,

DOĞAN

et al. 2022

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…The top of the dacryocyst is the blind end, and the bottom is continuous with the nasolacrimal passage. Relevant studies have found that the upper part of the dacryocyst is wider than the lower part, and it is trapezoidal [46]. The dacryocyst is a bone fossa with hard bone in the front and thinner bone in the back.…”

Section: Discussionmentioning

confidence: 99%

Study on Physiological Parameters of Lacrimal Obstruction Diseases Based on CT of Lacrimal Passage

Mo,

Zhang,

Guo

et al. 2024

Paranasal Sinuses - Surgical Anatomy and Its Applications

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The occurrence of lacrimal passage obstruction diseases is closely related to the physiological parameters of lacrimal passage. The lacrimal passage is divided into membranous lacrimal passage and bony lacrimal passage. Computed tomography (CT) of lacrimal passage can help us understand the situation of bony lacrimal passage and clarify the impact of individual anatomical differences on the occurrence of diseases. The following chapters present the physiological parameters of lacrimal passage measured by lacrimal passage CT and the impact of anatomical structure of lacrimal sac fossa on endoscopic dacryocystisinostomy, and analyze the relevant anatomical parameters of the dacryocystitis patients, including the angle between the nasolacrimal passage and the nasal plane, and the correlation between the deviation of the nasal septum and the occurrence of dacryocystitis.

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“…They found that the complication rate of endo-DCR in experienced hands are never higher than 2%. According to Alherabi et al 26 , several factors are responsible for the failure of endoscopic DCR, including the location of the bony ostium and its size, as well as adequate exposure and opening of the lacrimal sac. To achieve the best result, recent studies suggest the importance of opening the lacrimal sac ostium as wide as possible.…”

Section: Figure 5a and 5b Concha Bullosa Of Left Middle Turbinate (Re...mentioning

confidence: 99%

The management of traumatic and non traumatic dacryostenosis with endoscopy dacryocystorhinostomy

Irfandy¹,

Hafiz²,

Aquinas³

et al. 2022

Oto Rhino Laryn Indones

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Background: Dacryostenosis is a condition of obstruction or stenosis of the nasolacrimal duct, causing excessive tearing. Endoscopic dacryocystorhinostomy (endo-DCR) is an endoscopic procedure for nasolacrimal duct obstruction management. Purpose: To report and analyze the result of endo-DCR in dacryostenosis cases that caused by traumatic and non-traumatic etiology. Case report: Two cases of nasolacrimal duct obstruction on 26 years old and 63 years old women. Endo-DCR was performed to the patients in join operation with the Ophtalmology Department. On 3 months follow up, there were no epiphora, nor recurrent infection. On anel test the nasolacrimal duct was patent. Clinical question: Is endo-DCR an appropriate procedure for traumatic and non-traumatic dacryostenosis cases? Review method: Literature search was performed with keywords: “dacryostenosis” AND “dacryocystorhinostomy” AND “endoscopy”. Result: The literature search through Cochrane Database, Science Direct, and Springer Link produced 104 published works, and after screening by entering keywords was carried out, resulting in 12 relevant literatures. Selection of the last 5 years produced 2 appropriate journals. Conclusion: Management of traumatic and non-traumatic dacryostenosis with endo-DCR provided excellent result. In these cases, the join operation between Otorhinolaryngologist and Ophthalmologist were very beneficial for the patients.Keywords: dacryostenosis, nasolacrimal duct, endoscopy, dacryocystorhinostomyABSTRAKLatar belakang: Dakriostenosis adalah kondisi obstruksi atau stenosis duktus nasolakrimal sehingga keluar air mata yang berlebihan. Dakriosistorinostomi per endoskopi merupakan prosedur endoskopi untuk penatalaksanaan obstruksi duktus nasolakrimalis. Tujuan: Melaporkan dan menganalisis hasil dakriosistorinostomi per endoskopi pada kasus dakriostenosis yang disebabkan oleh trauma maupun non-trauma. Laporan kasus: Dilaporkan 2 kasus obstruksi duktus nasolakrimalis pada wanita usia 26 tahun dan 63 tahun. Pada pasien dilakukan dakriosistorinostomi per endoskopi, operasi bersama dengan Bagian Ilmu Kesehatan Mata. Setelah follow up 3 bulan, tidak ada epifora dan infeksi pada mata. Dengan pemeriksaan tes anel didapati duktus nasolakrimalis paten. Pertanyaan klinis: Apakah tindakan dakriosistorinostomi per endoskopi merupakan tidakan yang tepat untuk kasus obstruksi duktus nasolakrimalis karena trauma maupun non-trauma? Telaah literatur: Pencarian bukti dilakukan melalui Cohchrane, Science Direct, dan Springer Link. Hasil: Didapatkan 104 literatur yang terkait. Setelah dilakukan skrining diperoleh 12 literatur yang relevan. Pemilihan jurnal 5 tahun terakhir dengan memasukkan kata kunci, diperoleh 2 jurnal yang sesuai. Kesimpulan: Penatalaksanaan dakriostenosis karena trauma ataupun non-trauma, dengan dakriosistorinostomi per endoskopi memberikan hasil yang memuaskan. Pada kedua kasus ini, kerja sama antara dokter spesialis THT-KL dan spesialis Mata memberikan manfaat untuk pasien.Kata kunci: dakriostenosis, duktus nasolakrimalis, endoskopi, dakriosistorinostomi

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Endoscopic anatomy of the lacrimal sac for dacryocystorhinostomy

Cited by 8 publications

References 22 publications

Morphometric Evaluation of the Lacrimal Sac Fossa in Anatolian Population Using Multidetector Computed Tomography

Morphometric Evaluation of the Lacrimal Sac Fossa in Anatolian Population Using Multidetector Computed Tomography

Study on Physiological Parameters of Lacrimal Obstruction Diseases Based on CT of Lacrimal Passage

The management of traumatic and non traumatic dacryostenosis with endoscopy dacryocystorhinostomy

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