Stricker M, Chassagne J P, Pabst A, Meley M
Rev Stomatol Chir Maxillofac. 1979;80(4):201-4.
Surgery of the lacrimal appartus falls into the realm of a paradox: paradoxical because of the means employed to repair an excretory apparatus which is not absolutely indispensable; paradoxical because of the great difficulty encountered in assessing results in operated patients with: obstruction without weeping or; weeping without obstruction. The indication for operation is related to two factors: that of the act itself--valid in new lesions, debatable in old lesions, doubtful in relapses; that of the technique used, which in the authors' view is mainly a function of the state of the lacrimal sac. An objective analysis of a series of 102 cases strengthened the authors' opinions but with a feeling of circumspection tainted with deception.
之所以矛盾,是因为用于修复并非绝对不可或缺的排泄器官所采用的方法;之所以矛盾,还因为在评估手术患者的结果时会遇到极大困难,这些患者存在:无流泪症状的阻塞或;无阻塞症状的流泪。手术指征与两个因素相关:手术本身的因素——在新发病变中有效,在陈旧性病变中存在争议,在复发情况中存疑;所采用技术的因素,在作者看来,这主要取决于泪囊的状态。对102例病例的客观分析强化了作者的观点,但同时也带有一种因欺骗而蒙上的审慎之感。