At'kova E L, Zhukov O V, Krakhovetskiy N N, Yartsev V D, Reznikova L V
Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.
Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow State Medical University, Chair of Ophthalmology, 8-2 Malaya Trubetskaya St., Moscow, Russian Federation, 119991.
Vestn Oftalmol. 2018;134(5. Vyp. 2):270-275. doi: 10.17116/oftalma2018134051270.
The article reviews the literature devoted to modern intraoperative methods of preventing cicatricial process at the site of dacryostoma after endonasal endoscopic dacryocystorhinostomy. Despite the constant improvement of the surgery technique, complications in the postoperative period still occur. They include the formation of granulation tissue at the sites of dacryostoma, synechiae in the nasal cavity, or narrowing of the dacryostoma, which ultimately leads to a relapse of the disease. The main prevention methods are construction of flaps from the medial wall of the lacrimal sac, from mucosa of the nasal cavity, and intubation of the dacryostoma with the lacrimal implant. They are used separately and in various combinations.
本文回顾了有关鼻内镜下泪囊鼻腔吻合术后预防泪囊造口处瘢痕形成的现代术中方法的文献。尽管手术技术不断改进,但术后仍会出现并发症。这些并发症包括泪囊造口处肉芽组织形成、鼻腔粘连或泪囊造口狭窄,最终导致疾病复发。主要的预防方法是用泪囊内侧壁、鼻腔黏膜构建皮瓣,以及用泪道植入物对泪囊造口进行插管。这些方法单独使用或多种组合使用。