Research & Innovation
Publications
[Significance of transcanalicular laser assisted dacryocystorhinostomy in modern lacrimal drainage surgery]
PMU Author
L. M. Heindl
All Authors
K. R. Koch, H. Kühner, C. Cursiefen, L. M. Heindl
Journal association
OPHTHALMOLOGE
Abstract
For the treatment of postsaccal lacrimal drainage obstructions transcanalicular laser dacryocystorhinostomy (TCL-DCR) represents a less invasive alternative to external Toti procedures. Herein, a diode laser optical fiber is inserted into the lacrimal sac via the canaliculi. Under visual control with a nasal endoscope laser energy is applied until a patent osteotomy between the sac and nasal mucosa has been created. Published success rates of 70-90% get close to the excellent results of Toti procedures. Besides describing therapy planning and surgical technique, pros and cons of TCL-DCR are discussed.
Keywords
Combined Modality Therapy *Dacryocystorhinostomy/*methods Drainage/*methods Evidence-Based Medicine Humans Lacrimal Duct Obstruction/*diagnosis Laser Therapy/*methods Treatment Outcome