Nasolacrimal Duct Obstruction After Endoscopic Sinus Surgery

Serdahl, Christian L.; Berris, Craig E.; Chole, Richard A.

doi:10.1001/archopht.1990.01070050089038

Cited by 60 publications

(24 citation statements)

References 6 publications

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“…A good familiarity with the surgical anatomical relationships is therefore important to avoid inadvertent injury during endoscopic sinus surgery. The complication of injury to the NLD following endoscopic sinus surgery has been Mean/SD 21.9 ± 2.03 3.9 ± 0.88 24.6 ± 3.56 13.7 ± 3.15 14.3 ± 2.05 reported to be 0.3-1.7% (Kennedy et al 1987;Serdahl et al 1990;Bolger et al 1992;Unlu et al 2001). In addition, during endoscopic DSR, the mucosa on the lateral nasal wall anterior to the uncinate process should be removed in order to expose the bone covering of the NLD.…”

Section: Discussionmentioning

confidence: 99%

Surgical anatomy of the nasolacrimal duct on the lateral nasal wall as revealed by serial dissections

et al. 2009

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The anatomy of the nasolacrimal duct (NLD) in relation with the lateral nasal wall was studied in 15 half-heads of human adult cadavers by serial photographs of the dissection of the lateral nasal wall. The aim of the study was to determine the intranasal anatomical relationships of the NLD with the lateral nasal wall for surgical reference during endoscopic dacryocystorhinostomy. Following removal of the nasal mucosa anterior to the uncinate process, the exposed bone was removed by drilling. The entire NLD was exposed intranasally. The relationships of the NLD with the maxillary sinus ostium and anterior nasal spine were determined, and the length of the NLD was measured. The morphology of the NLD opening was observed, and its distance from several landmarks were measured. There were three types of intranasal orifice: pin-point, triangular and slit-like. The NLD is located, on average, 24.6 ± 3.56 mm posterior to the anterior nasal spine. The nearest distances between the opening of the NLD and the nasal floor and between the opening of the NLD and the most anterior attachment of the inferior nasal concha were 13.7 ± 3.15 and 14.3 ± 2.05 mm, respectively. The length of the NLD was 21.9 ± 2.03 mm on average. The nearest distances between the NLD and the maxillary sinus ostium was 3.9 ± 0.88 mm. Cadaver dissections and the photographs of the fine dissections provide a more accurate description of the lateral nasal wall anatomy. These data provide valuable anatomical information to the surgeon performing endonasal dacryocystorhinostomy.

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Section: Discussionmentioning

confidence: 99%

Surgical anatomy of the nasolacrimal duct on the lateral nasal wall as revealed by serial dissections

et al. 2009

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“…Sinus or nasal surgery, especially endoscopic sinus surgery [66,67], are other potential causes. The nasolacrimal duct lies anterior to the usual site of and is vulnerable during enlargement of the nasal ostium of the maxillary sinus.…”

Section: Pathophysiology and Etiology Of Acquired Nasolacrimal Duct Omentioning

confidence: 99%

Acquired Nasolacrimal Duct Obstruction

Mills

Meyer

2006

Otolaryngologic Clinics of North America

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“…In diesen Frequenzen wurden die Kurven der AEP's mit Reizlautstarken von 80,70,60,50,40,30,20 und lOdB nHL aufgezeichnet. In diesen Frequenzen wurden die Kurven der AEP's mit Reizlautstarken von 80,70,60,50,40,30,20 und lOdB nHL aufgezeichnet.…”

Section: R Metzler a Schadel W Bergler (Mannheim): Rekonstruktiounclassified

“…1m Faile eines pleomorphen Adenoms kann die durch-stoBene Tumorkapsel einreiBen, damit die Opera- In der Spiitphase (beginnend 4-6 Monate nach Radiatio) zeigte sich eine Normalisierung der GroBe bis Verkleinerung der Druse. 1m gleichen Zeitraum erschien international eine Reihe von wissenschaftlichen Arbeiten iiber operative Komplikationen [14,49,50,63,70,74,75,76,77,79]. In einigen Fallen lag je-doch eine eher echoarme Struktur vor.…”

Section: E Janda G Grevers (Munchen): Dysgenetische Speichelgangszunclassified

“…detaillierte Berichte iiber postoperative Tranenwegsstenosen [70], voriibergehende [31,41] und bleibende Visusminderungen [3,32,38,46,51,64,87] bis hin zur doppelseitigen Amaurose [6,71], Augenmuskelparesen [14,18,21,52,65], Aneurysmen oder Blutungen aus der A. carotis interna [44,49,59,82,89] und Schadelbasisverletzungen [22,28,49,67] VOL Die Genese, Art und Ausdehnung der Schadigungen bei einem operativen Zugang von auBen resp. Es liegen u.a.…”

Section: Analyse Medico-legaler Gutachten Umfrage Unter Fachabteilungenunclassified

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Feldmann¹,

Herberhold²

1993

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Nasolacrimal Duct Obstruction After Endoscopic Sinus Surgery

Cited by 60 publications

References 6 publications

Surgical anatomy of the nasolacrimal duct on the lateral nasal wall as revealed by serial dissections

Surgical anatomy of the nasolacrimal duct on the lateral nasal wall as revealed by serial dissections

Acquired Nasolacrimal Duct Obstruction

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