Weber R, Draf W
Klinik für HNO-Krankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Städtisches Klinikum Fulda.
Laryngorhinootologie. 1993 Sep;72(9):445-9. doi: 10.1055/s-2007-997933.
For reconstruction of lacrimal drainage after injury of tumour resection indications, surgical technique and results of five surgical procedures are presented: primary suture with splinting, conjunctivorhinostomy, endonasal dacryocystorhinostomy, Heermann tube and mobilisation of nasolacrimal duct. Performing these techniques, solitary or in combination, one achieves almost a good lacrimal drainage. The results of our retrospective study are based upon a combination of subjective and objective findings. Success rate was 96% for direct suturing of the tear ducts with intubation, 100% for conjunctivorhinostomy, 96% for endonasal dacryocystorhinostomy in case of postsaccal stenosis, 83% for Heermann/Jones tube and 100% for relocation of the nasolacrimal duct.
本文介绍了肿瘤切除术后泪道损伤重建的适应证、手术技术以及五种手术方法的结果：带支撑物的一期缝合、结膜鼻吻合术、鼻内镜下泪囊鼻腔吻合术、赫尔曼管植入术和鼻泪管移位术。单独或联合应用这些技术，几乎都能实现良好的泪道引流。我们回顾性研究的结果基于主观和客观发现的综合评估。泪道插管直接缝合的成功率为96%，结膜鼻吻合术为100%，泪囊后段狭窄时鼻内镜下泪囊鼻腔吻合术为96%，赫尔曼/琼斯管植入术为83%，鼻泪管移位术为100%。
