Eye Department, J Strus City Hospital, Poznan, Poland
Department of Chemistry, Adam Mickiewicz University, Poznan, Poland.
BMJ Case Rep. 2020 Sep 10;13(9):e235565. doi: 10.1136/bcr-2020-235565.
Epiphora due to nasolacrimal duct obstruction is a common condition worsening one's quality of life. It requires surgical treatment. We present a combined technique of transnasal endoscopic dacryocystorhinostomy with simultaneous limited septoplasty, circumostial mitomycin C injection and the use of tissue glue in a case of a 72-year-old patient with nasolacrimal duct obstruction complicated by septal deviation. The multiprocedure surgery was performed successfully. Follow-up time was 2 years. The patient remained asymptomatic within the observation time. Functional and anatomical success was achieved. We believe that the transnasal endoscopic dacryocystorhinostomy extended by limited endoscopic septoplasty, circumostial mitomycin C injection and the use of fibrin glue may be a solution for selected cases of nasolacrimal obstruction accompanied by significant local septal deviation.
鼻泪管阻塞导致的溢泪是一种常见病症，会降低生活质量，需要进行手术治疗。我们介绍了一种联合技术，即经鼻内镜鼻腔泪囊吻合术同时行局限性鼻中隔成形术、环眶周围丝裂霉素 C 注射和组织胶的应用，治疗 1 例 72 岁鼻泪管阻塞合并鼻中隔偏曲的患者。该多步骤手术成功完成。随访时间为 2 年。在观察期内，患者无症状。达到了功能和解剖成功。我们认为，经鼻内镜鼻腔泪囊吻合术联合局限性内镜鼻中隔成形术、环眶周围丝裂霉素 C 注射和使用纤维蛋白胶，可能是治疗伴有明显局部鼻中隔偏曲的鼻泪管阻塞的一种选择。
