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

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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

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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
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