Authors
Porickij Yu.V., Kol’bin A.A., Voronov A.V.
S.M. Kirov Military medical academy, St. Petersburg
Abstract
Modern minimally invasive methods of surgical treatment of patients with traumatic dacryocystitis, including concomitant pathology on the part of ENT organs, are demonstrated. The criteria for selecting patients for various surgical options are described.
The article describes the options for surgical treatment of patients with traumatic dacryocystitis in 3 groups of patients, depending on the anatomical features and the presence of concomitant pathology of the ENT organs. All variants of operations were accompanied by stenting of the lacrimal ducts for a period of 4 months.
The results of the study were analyzed for the restoration of active lacrimal drainage and the occurrence of relapses in the long-term postoperative period. Based on the study, conclusions are drawn about the feasibility of a differentiated approach in the selection of patients for a specific type of surgical treatment.
Keywords: traumatic dacryocystitis, recanalization of lacrimal ducts, transcanalytic laser dacryocystorhinostomy, endonasal endoscopic dacryocystorhinostomy, pathology of the nasal cavity and paranasal sinus.
References
1. Askerova SM. Kompleksnoe hirurgicheskoe lechenie pervichnoj i inducirovannoj patologii slyoznoj sistemy. [avtoreferat dissertation] М.; 2005. (In Russ).
2. Dvoryanchikov VV. Kompleksnoe lechenie pacientov s hronicheskim dakriocistitom i soputstvuyushchej rinopatologiej. Rossijskaya rinologiya. 2016; 24(1): 34–37. (In Russ).
3. Krahoveckij H.H. Sravnitel’naya ocenka sposobov intubacii pri recidiviruyushchih obliteraciyah vertikal’nogo otdela slezootvodyashchih putej. In Materialy nauchno-prakticheskoj konferencii po oftal’mohirurgii s mezhdunarodnym uchastiem «Vostok–Zapad». Ufa; 2013. р.412. (In Russ).
4. Luk’yanina VV. Povyshenie effektivnosti hirurgicheskogo lecheniya bol’nyh s posttravmaticheskim dakriocistitom. Sbornik materialov yubilejnoj konferencii Habarovskogo filiala GU MNTK «Mikrohirurgiya glaza im. Akademika S.N. Fedorova» «Patogeneticheski orientirovannye podhody v diagnostike, lechenii i profilaktike glaznyh zabolevanij». Habarovsk; 2003. р.182–185. (In Russ).
5. Obodov VA. Travmaticheskie dakriocistity. Endoskopicheskaya hirurgiya. Vestnik Orenburgskogo gosudarstvennogo universiteta. 2010. 12-2(118): 105–108. (In Russ).
6. Porickij YUV. Diagnostika i hirurgicheskoe lechenie zabolevanij i povrezhdenij slezootvodyashchih putej. SPB.: VMedA; 2013. 104 р. (In Russ).
7. Smirnova AS. Simul’tannaya funkcional’naya endoskopicheskaya hirurgiya patologii polosti nosa, okolonosovyh pazuh i slezootvodyashchih putej. Tavricheskij mediko-biologicheskij vestnik. 2017; 20(3):178–186. (In Russ).
8. SHkol’nik SF. Sovremennye podhody k diagnostike i lecheniyu zabolevanij slezootvodyashchego trakta. Prakticheskaya medicina. 2012; 2(4): 173–176. (In Russ).
9. Castelnuovo P, et al. Introduction to the surgical anatomy of endonasal dacryocystorinostomy (DCR). Germany: Endo:Press, 2013. 47 p.