Ultrasonic Endoscopic Dacryocystorhinostomy

  • Mohammad Javed Ali


Endoscopic endonasal dacryocystorhinostomy has gained a considerable popularity in the recent two decades with the advent of the rigid fiber-optic endoscope [1, 2]. There are numerous advantages of endoscopic dacryocystorhinostomy (DCR) which include no facial incision, no disruption of the medial canthal tendon, no disruption of the lacrimal pump, less trauma, and feasibility in acute dacryocystitis [1, 2]. Recent published meta-analysis have revealed comparable results with external DCR with lesser risks of infection and bleeding [3]. With increasing understanding, it is clear that among others two major goals for a successful endoscopic DCR are creating large osteotomy and as minimally traumatic as possible. Both of these can be easily achieved with an ultrasonic osteotomy.


Middle Turbinate Nasolacrimal Duct Oxidize Cellulose Horizontal Incision Endoscopic Dacryocystorhinostomy 
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  1. 1.
    Tsirbas A, Wormald PJ. Endonasal dacryocystorhinostomy with mucosal flaps. Am J Ophthalmol. 2003;135:76–83.PubMedCrossRefGoogle Scholar
  2. 2.
    Goldberg RA. Endonasal dacryocystorhinostomy: is it really less successful? Arch Ophthalmol. 2004;122:108–10.PubMedCrossRefGoogle Scholar
  3. 3.
    Huang J, Malek J, Chin D, et al. Systematic review and meta-analysis on outcomes for endoscopic versus external dacryocystorhinostomy. Orbit. 2014;33:81–90.PubMedCrossRefGoogle Scholar
  4. 4.
    Krasnov MM. Ultrasonic dacryocystorhinostomy. Am J Ophthalmol. 1971;72:200–1.PubMedCrossRefGoogle Scholar
  5. 5.
    Sivak-Callcott JA, Linberg JV, Patel S. Ultrasonic bone removal with sonopet omni: a new Instrument for orbital and lacrimal surgery. Arch Ophthalmol. 2005;123:1595–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Yamasaki T, Moriatke K, Nagai H, et al. A new miniature ultrasonic surgical aspirator with a hand piece designed for transphenoidal surgery. Technical note. J Neurosurg. 2003;99:177–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Pribitkin EA, Lavasani LS, Shindle C, et al. Sonic rhinoplasty: sculpting the nasal dorsum with the ultrasonic bone aspirator. Laryngoscope. 2010;120:1504–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Hadeishi H, Suzuki A, Yasui N, et al. Anterior clinoidectomy and opening of the internal auditory canal using an ultrasonic bone curette. Neurosurgery. 2003;53:867–70.CrossRefGoogle Scholar
  9. 9.
    Ali MJ, Mariappan I, Maddileti S, et al. Mitomycin C in dacryocystorhinostomy: the search for the right concentration and duration – a fundamental study on human nasal mucosal fibroblasts. Ophthal Plast Reconstr Surg. 2013;29:469–74.PubMedCrossRefGoogle Scholar
  10. 10.
    Kamal S, Ali MJ, Naik MN. Circumostial injection of mitomycin C (COS MMC) in external and endoscopic dacryocystorhinostomy: efficacy, safety profiles and outcomes. Ophthal Plast Reconstr Surg. 2014;30:187–90.PubMedCrossRefGoogle Scholar
  11. 11.
    Murchinson AP, Pribitkin EA, Rosen MR, et al. The ultrasonic bone aspirator in transnasal endoscopic dacryocystorhinostomy. Ophthal Plast Reconstr Surg. 2013;29:25–9.CrossRefGoogle Scholar
  12. 12.
    De Castro DK, Fay A, Wladis EJ, et al. Self-irrigating piezoelectric device in orbital surgery. Ophthal Plast Reconstr Surg. 2013;29:118–22.PubMedCrossRefGoogle Scholar
  13. 13.
    Salami A, Dellepiane M, Salzano FA, et al. Piezosurgery in endoscopic dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2009;140:264–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Antisdel JL, Kadze MS, Sindwani R. Application of ultrasonic aspirators to endoscopic dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2008;139:586–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Salami A, Verecellotti T, Mora R, et al. Piezoelectric bone surgery in otologic surgery. Otolaryngol Head Neck Surg. 2007;136:484–5.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.Dacryology ServiceL.V. Prasad Eye InstituteBanjara Hills, HyderabadIndia

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