Wielgosz Romuald, Mroczkowski Edward
Klinika Laryngologiczna Szpitala A Kruppa w Essen.
Otolaryngol Pol. 2006;60(2):235-8.
The history and development of surgical treatment of lacrimal system from rhinological point of view was presented. The lacrimal drainage system has provoked great deal of investigation throughout history, because ophtalmologists couldn't attain persistent and permeable drainage between the lacrimal and the nose. The change came, when first Italian rhinologist Toti described external dacryocystorhinostomy (DCR), and later West performed endonasal DCR. The use of microscope and endoscope in rhinosurgery caused the significant progress also in lacrimal surgery. The development of endonasal microsurgery enabled to introduce other non invasive procedure, such as endoscopic laser dacryocystorhinostomy or transcanalicular dacryo-cystorhinostomy (endo-canalicular DCR). One of the newest method in the treatment of complete and partial obstruction of lacrimal drainage system is also baloon dacryocystoplasty.
从鼻科学角度介绍了泪器系统外科治疗的历史与发展。泪道引流系统在历史上引发了大量研究，因为眼科医生无法实现泪液与鼻腔之间持久且通畅的引流。当首位意大利鼻科医生托蒂描述了外路泪囊鼻腔吻合术（DCR），后来韦斯特开展了鼻内DCR时，情况发生了变化。鼻科手术中显微镜和内窥镜的使用也给泪器手术带来了显著进展。鼻内显微手术的发展使得引入其他非侵入性手术成为可能，如内窥镜激光泪囊鼻腔吻合术或经泪小管泪囊鼻腔吻合术（经泪小管DCR）。泪道引流系统完全或部分阻塞治疗的最新方法之一还有球囊泪囊成形术。
