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Modified dacryocystorhinostomy easier to perform, surgeons claim
A modified surgical approach to standard dacryocystorhinostomy is no more efficacious, but it is easier to perform, according to surgeons who modified the standard technique.
Humbert Massegur, MD, and colleagues at Hospital de la Sta. Creu in Barcelona, Spain, described a modified version of typical dacryocystorhinostomy that had similar permeability results in long-term follow-up to standard surgery. Modifications included a mucosal flap design that helps to improve the postoperative mucosal recovery, careful dissection of the bony suture between the frontal process of the maxillary bone and the lacrimal bone and osteotomy using Smith-Kerrison forceps.
No major complications with the revised procedure were found. The most common minor complication was postoperative eyelid hematoma in cases where orbital fat was exposed.
The study is published in the January issue of Otolaryngology.