JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (6): 26-28.doi: 10.6040/j.issn.1673-3770.0.2015.210

Previous Articles     Next Articles

Anatomy of lacrimal sac to endoscopic transnasal dacryocystorhinostomy

WANG Gang1, HU Jinwang1, TAO Wei2, WU Changsong1, WEI Pingcun1   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, Anhui Second Provincial Pepole's Hospital, Hefei 230041, Anhui, China;
    2. Department of Anatomy, Anhui University of Science & Technology, Huainan 232000, Anhui, China
  • Received:2015-06-01 Online:2015-12-16 Published:2015-12-16

PDF (PC)

672

Abstract: Objective To provide anatomical localization for endoscopic transnasal dacryocystorhinostomy. Methods Twelve adult cadavers(24 sides) were studied on the projection anatomy of lacrimal sac on the lateral wall of nasal cavity. Sixty-two patients (85 sides) with chronic dacryocystitis and nasolacrimal duct obstruction were treated by endoscopic transnasal dacryocystorhinostomy. Results Fifteen adult cadavers sides (62.5%) lacrimal sac upper bound were higher than the insertion of middle turbinate, 9 adult cadavers sides (37.5%) lacrimal sac upper bound were lower than the insertion of middle turbinate. During a post-operative follow-up of 6 months, 50 patients (70 sides 82.3%) were cured, 8 (9 sides 10.6%) had improvement, and 4 (6 sides 7.1%) were invalid. The total efficiency was 92.9%. Conclusion Upper bound of the lacrimal sac was 0.7 cm up the insertion of middle turbinate .Lower bound of the lacrimal sac was 0.3 cm under the insertion of middle turbinate. After bound of the lacrimal sacs was front of the uncinate.

Key words: Endoscopy;, Anatomy, Dacryocystorhinostomy, Dacryocystitis

CLC Number: 

  • R779.6
[1] Woog J J, Meston R, Puliafito C A.Holmium YAG endonasal laser dacryocystorhinostomy[J]. Am J Opthalmol, 1993, 116:1-10.
[2] Wormald P J, Kew J, Hasselt A V. Intranasal anatomy of the nasocrimal sac in endoscopic dac ryocystorhinostomy[J]. OtolaryngolHead Neck Surg, 2000, 123(3):307-310.
[3] 张速勤, 贾沛靓, 唐海红, 等. 泪囊鼻内解剖研究及临床应用[J].中华耳鼻咽喉头颈外科杂志, 2006,41(7): 506-509. ZHANG Suqin, JIA Peiliang, TANG Haihong, et al. Endonasal anatomy of lacrimal sac and its clinical significance in dacryocystorhinostomy[J]. Chin J Otolaryngol Head Neck Surgery, 2006, 41(7): 506-509.
[4] Olver J M. The success rates for endonasal dacryocystorhinostomy[J].Br J Ophthalmol, 2003, 87(11):1431-1433.
[5] Rice D H. Endoscopic intranasal dacryocystorhinostomy: A cadaver study[J]. Am J Rhinol, 1988, 2:127.
[6] 周兵.鼻内窥镜下鼻内泪囊鼻腔造孔术(附35例疗效分析) [J]. 耳鼻咽喉-头颈外科,1994,1(2):80-83. ZHOU Bing. Endoscopic intranasal dacryocystorhinostomy: a clinical analysis of 35 cases[J]. Chin Arch Otolaryngol Head Neck Surgery, 1994, 1(2):80-83.
[7] 马敬, 张小春, 徐学海, 等. 鼻内窥镜下泪囊鼻腔电钻造孔术[J]. 耳鼻咽喉-头颈外科,2002,9(1):60. MA Jing, ZHANG Xiaochun, XU Xuehai, et al. Endoscopic intranasal dacryocystorhinostomy with the electrodrill[J]. Chin Arch Otolaryngol Head Neck Surgery, 2002, 9(1):60.
[8] 韩德民,周兵. 鼻内窥镜外科学[M]. 北京:人民卫生出版社,2001:151.
[9] 贾沛靓, 张速勤, 唐海红, 等.鼻腔泪囊造口术的泪囊鼻内解剖研究[J].临床耳鼻咽喉科杂志,1999,20(8):344-346. JIA Peiliang, ZHANG Suqin, TANG Haihong, et al.Endonasal anatomy of lacrimal sac to endoscopic transnasal dacryocystorhinostomy[J]. Clin J Otolaryngol, 1999, 20(8):344-346.
[10] Orhan M, Saylam C Y, Midilli R. Intranasal Localization of the Lacrimal Sac [J]. Arch Otolaryngol Head Neck Surg, 2009, 135(8):764-770.
[11] 刘成,卫平存,胡金旺. 三种药物在泪囊鼻腔吻合术中的应用比较[J].山东大学耳鼻喉眼学报,2011,25(6):58-61. LIU Cheng, WEI Pingcun, HU Jinwang. Three kinds of medicine in dacryocystorhinostomy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2011, 25(6):58-61.
[12] 范伟,王天怡, 邓爱军. 5-氟尿嘧啶与丝裂霉素C在改良外路泪囊鼻腔吻合术中的应用疗效比较[J].山东大学耳鼻喉眼学报,2014,28(5):99-100, 104. FAN Wei, WANG Tianyi, DENG Aijun. Application of 5-fluorouracil and mitomycin C in improved external dacryocystorhinostomy[J]. J Otolaryngol Ophthalmol Shandong Univ, 2014, 28(5):99-100, 104.
[1] ZHOU Peng, SU Kaiming. The basic anatomical considerations for functional rhinoplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(1): 37-41.
[2] . The endoscopic endonasal transpterygoid approach in lateral midline skull base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 16-24.
[3] XIE Chang, YAN Bin, LI Jianxing, LU Yongtian. Anatomical and clinical evaluation of the endoscopic transoral transpharyngeal approach to the atlantoaxial. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 47-51.
[4] DENG Yuqin, YANG Yaqi, TAO Zezhang, KONG Yonggang, XU Yu, CHEN Shiming. The relationship between the sinusitis and anatomic variations in ostiomeatal complex. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 46-49.
[5] LÜ Zhenghua. Decompression of recurrent nerve. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 17-19.
[6] ZHAO Chunchen, SHAO Yuan, GONG Jitao. Endoscopic endonasal dacryocystorhinostomy in treatment of chronic dacryocystitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 50-51.
[7] ZHANG Baoying, LU Yongtian, LI Jianxing. Transoral endoscopic dissection of parapharyngeal space. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(4): 38-41.
[8] SHEN Peng, SUN Zhong-wu, LI Jian-rui, YANG Li-jun, MA Liang, ZHANG Ming-sheng. Endoscopic endonasal approach to the pterygopalatine fossa: an anatomic study [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 58-61.
[9] FAN Wei, WANG Tian-yi, DENG Ai-jun. Application of 5-fluorouracil and mitomycin C in improved external dacryocystorhinostomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(5): 99-100.
[10] ZHAO Ya-ming, ZHANG Wei-tian, LI Yin, ZHU Hua-ming, SU Kai-ming. Comparison of curative effect of endoscopic endonasal dacryocystorhinostomy with open surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(4): 46-48.
[11] ZHANG Tao. Applied anatomy of the lateral skull base [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 56-58.
[12] SHI Yu-yong， LIU Ding-rong. Intranasal endoscopic dacryocystorhinostomy for chronic dacryocystitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 51-53.
[13] CHU Cui-ying, JIANG Guang-wei, QU Ming-xuan. Retrograding silicon tube implantation into nasolacrimal canal in the process of dacryocystography for chronic dacryocystitis in 74 patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 54-55.
[14] WANG Jin, HE Yue. Significance of preoperative temporal bone CT and endoscopy on the treatment of chronic suppurative otitis media [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 45-47.
[15] LIU Yan-bo, LIN Wen, WANG Qiu-yu. Clinical effect of nasal endoscopic dacryocystorhinostomy in 38 cases [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 61-62.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd