Abstract:

Objective      To gain experience in curing chronic dacryocystitis under endoscopic surgeries and to explore the qualities of the anastomosis by applying Ear-brain glue after incising the dacryocyst. Methods       213 patients (225 eyes) underwent endoscopic dacryocystorhinostomy between May 1, 2006 and March 31, 2010 because of sufferings of chronic dacryocystitis or nasolacrimal duct obstruction (among them, 25 eyes had  recrudescence of chronic dacryocystitis after facial incision surgeries). Of the 213 cases, 16 eyes had nasal polyps; 33 high deviation of nasal septum, rectified; 20 uncinatus hypertrophy, excised; 19 nasal polyps hyalinosis at  forward of the middle turbinate, removed. All the anastamoses were treated with ear-brain glue. Result       199 eyes were completely  cured without any epiphora, 19 highly improved  and 7 eyes proved to be ineffective. Conclusion       1) The most important steps are to locate and incise the lacrimal sac during dacryorhinocystotomy operation. 2) It is an indispensible step for surgical therapy to change dressings at regular intervals under nasal endoscopy. 3) It is reliable and stable to treat the fistulas with Ear-brain glue.

Key words: Anastomosis;  Dacryocystitis; Dacryorhinocystotomy