Aesthetic External DCR: The Transconjunctival Approach

  • Pelin Kaynak


Primary and secondary nasolacrimal duct obstructions are quite frequently encountered in ophthalmology practice. The traditional surgical approach for managing nasolacrimal duct obstruction (NLDO) is an external dacryocystorhinostomy (Ex-DCR), first described by Toti in 1904 [1]. He gained access to the sac and nasal cavity via a skin incision in the medial canthal region. Dupuy-Dutemps and Bourget later described an Ex-DCR technique where mucosal anastomosis was achieved with suturing of the nasal and saccal flaps [2]. External DCR is still performed in a similar way with minor alterations and high success rates of over 90 % [3–9]. However, external DCR leaves a scar in the medial canthal area.


Nasolacrimal Duct Obstruction Ethmoidal Cell Facial Scar Transconjunctival Approach Traditional Surgical Approach 
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Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Ophthalmic Plastics SurgeryBeyoglu Eye Research and Training HospitalIstanbulTurkey

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