Burns J A, Cahill K V
Ophthalmic Surg. 1985 Nov;16(11):710-6.
A consecutive series of 122 dacryocystorhinostomies is reviewed, and a surgical technique which preserves the anterior lacrimal crest and eliminates the need to create mucosal flaps is described. The success rate of this simplified technique is 89%. The success rate rises to 94% following secondary revisions. This is comparable to more complicated procedures. Canalicular and common punctal stenosis are not found to be contraindications to dacryocystorhinostomy for obstruction of the nasolacrimal duct but do lower the success rate. Eighty-one percent of patients with concomitant canalicular disease and nasolacrimal duct obstruction were cured by dacryocystorhinostomy with silicone intubation. A success rate of 98% was achieved in patients without preoperative canalicular disease.
回顾了连续122例泪囊鼻腔吻合术，并描述了一种保留泪前嵴且无需制作黏膜瓣的手术技术。这种简化技术的成功率为89%。二次修复后成功率升至94%。这与更复杂的手术相当。泪小管和泪小点狭窄并非鼻泪管阻塞行泪囊鼻腔吻合术的禁忌证，但会降低成功率。81%伴有泪小管疾病和鼻泪管阻塞的患者通过泪囊鼻腔吻合术联合硅胶插管治愈。术前无泪小管疾病的患者成功率达到98%。
