Bernard J A
Rev Stomatol Chir Maxillofac. 1979;80(4):212-7.
The present attitude towards the treatment of obstruction of the lacrimal ducts should be based on traditional methods, but modified to take into account recent advances which allow "modern surgery" to be applied. These new procedures are based on two relatively recent new acquisitions: 1) A precise knowledge of the physiology of the lacrimal pump, mainly due to the work of Lester T. Jones. It is important to know hen this pump has been destroyed as any attempt at repair is doomed to fail. We do not yet know how to reconstruct this pump. If minor damage has occurred however, attempts at repair operations may be successful. 2) Simplification of the operative procedure, both for dacryocystorhinostomies and lacodacryocystorhinostomies. Complex reconstructive procedures which often failed have been replaced by the application of a tube made of an inert material, and this is much simpler and gives much more constant results.
目前对于泪道阻塞的治疗态度应基于传统方法，但需加以改进以考虑到能应用“现代手术”的最新进展。这些新手术基于两个相对较新的成果：1）对泪泵生理学的精确认识，这主要归功于莱斯特·T·琼斯的工作。了解泪泵何时被破坏很重要，因为任何修复尝试都注定会失败。我们尚不知道如何重建这个泵。然而，如果只是轻微损伤，修复手术的尝试可能会成功。2）泪囊鼻腔造口术和泪小管泪囊鼻腔造口术手术操作的简化。过去常常失败的复杂重建手术已被应用惰性材料制成的管子所取代，这种方法更简单且效果更稳定。
