Siegert Ralf
Prosper-Hospital, Klinik für HNO-Heilkunde, Kopf-und Hals-Chirurgie, Mühllenstr. 27, 45659 Rechklinghaesen.
Laryngorhinootologie. 2007 Apr;86(4):252-4. doi: 10.1055/s-2007-972776.
Endonasal dacryocystorhinostomy is the standard treatment for obstruction of the lacrimal drainage system. Localization of the stenosis can be difficult intraoperatively, especially in chronic sclerosing dacryocystitis or re-operations. We present a technique of intraoperative diaphanoscopic localization of the stenosis with the use of a special small light fiber that is inserting through the lacrimal points down to the stenosis. The lighted fiber illuminates the area, which has to be exposed endonasally and drain to the nose. This little addition contributes to a meticulous and straightforward operative technique.
鼻内镜下泪囊鼻腔造口术是泪道引流系统阻塞的标准治疗方法。术中确定狭窄部位可能有困难,尤其是在慢性硬化性泪囊炎或再次手术时。我们介绍一种术中利用特殊的小光导纤维进行透照定位狭窄部位的技术,该光导纤维经泪点插入直至狭窄部位。带光源的纤维照亮该区域,此区域需经鼻内暴露并引流至鼻腔。这一小小的改进有助于实现精细且直接的手术操作。