Powered Endoscopic Dacryocystorhinostomy

Chapter

Abstract

Powered endoscopic dacryocystorhinostomy allows the lacrimal sac to be fully exposed so that it stands proud of the lateral nasal wall after dissection while avoiding an external incision and scar. The results of this technique have improved over the past few decades and rival or even surpass the open approach. By fully preserving all the lacrimal mucosa during opening of the sac, the sac can be marsupialized into the lateral nasal wall becoming part of the lateral nasal wall. This chapter outlines the details of completing a powered endoscopic dacryocystorhinostomy. The brief history and evolution of the procedure is described in addition to the nuances of the technique. Results of this procedure have proved to be reliable in primary, revision, and in pediatric DCRs.

Keywords

Powered Endoscopic Endonasal Dacryocystorhinostomy DCR Epiphora 

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of Otolaryngology, Head and Neck SurgeryThe University of AdelaideAdelaideAustralia
  2. 2.The Queen Elizabeth HospitalWoodvilleAustralia

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