lacrimal system, dacryocystitis, obstruction, operation, modern


Introduction: Dacryocystitis is a very common pathology and affects a significant part of the population. Stenosis of the nasolacrimal ducts is the most frequent cause of development of dacryocystitis, the main method of treatment is dacryocystorhinostomy.

Material and methods: to study the main stages of dacryocystorhinostomy (DCR), various scientific journals (scientific journals from which we get information) were used. One of the first methods of surgical treatment of dacryocystitis was provided in the first century of our era. In 1904, the Italian professor Adeo Totti provided us with the method of external dacryocystorhinostomy.

Results and conclusion: Endonasal DCR was first performed by Caldwell in 1893. Endoscopic-endonasal Endo DCR was first described in 1999 by McDonor and Meiring. Endonasal endoscopic dacryocystorhinostomy (Endo DCR) is performed without an external rate and with adequate visualization of the contours of the operating structures, minimal invasion of the mucous membrane and anatomical formations with a practically "bloodless" method.


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S. Agarwal. Endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction J. Laryngol. Otol., 123 (2009), pp. 1226-1228

R. Ajit, C. Inkster, J. Tuck, P. Mortzos. Orbital emphysema: an unusual complication of balloon dacryocystoplasty. Br. J. Radiol., 77 (924) (2004), pp. 1057-1058

S. Anari, G. Ainsworth, A.K. Robson. Cost-efficiency of endoscopic and external dacryocystorhinostomy. J. Laryngol. Otol., 122 (2008), pp. 476-479

J. Badilla, P.J. Dolman. Cerebrospinal fluid leaks complicating orbital or oculoplastic surgery. Arch. Ophthalmol., 125 (12) (2007), pp. 1631-1634

L. Baldeschi, K. Macandie, C.R. Hintschich. The length of unsutured mucosal margins in external dacryocystorhinostomy. Am. J. Ophthalmol., 138 (5) (2004), pp. 840-844

E.A. Barnes, Y. Abou-Rayyah, G.E. Rose. Pediatric dacryocystorhinostomy for nasolacrimal duct obstruction. Ophthalmology, 108 (9) (2001), pp. 1562-1564

I. Beiran, J. Pikkel, M. Gilboa, B. Miller. Meningitis as a complication of dacryocystorhinostomy. Br. J. Ophthalmol., 78 (1994), pp. 417-418

G.J. Ben Simon, N. Cheung, A.A. McNab. Delayed epistaxis in external dacryocystorhinostomy: rate and risk factors. Arch. Otolaryngol. Head Neck Surg., 136 (2) (2010), pp. 183-186

P.R. Boulos, P.A. Rubin. A lacrimal sac abscess incision and drainage technique. Arch. Ophthalmol., 126 (9) (2008), pp. 1297-1300

K.D. Carter, J.A. Nerad. Primary Acquired Nasolacrimal Duct Obstruction. S. Bosniak (Ed.), Principles and Practice of Ophthalmic Plastic and Reconstr. Surgery, Saunders, Philadelphia (1996), pp. 784-796

P.A. Chandler. Dacryocystorhinostomy. Trans. Am. Ophthalmol. Soc., 34 (1936), pp. 240-63

F. Ciftci, U.A. Dinc, V. Ozturk The importance of lacrimal diaphragm and periosteum suturation in external dacryocystorhinostomy Ophthal. Plast. Reconstr. Surg., 26 (4) (2010), pp. 254-258

R.A. Dailey, R.N. Tower Frosted jones pyrex tubes Ophthal. Plast. Reconstr. Surg., 21(3)(2005),185-7

S. Day, T.N. Hwang, S.D. Pletcher, A. Bhatki, T.J. McCulley Interactive image-guided endoscopic dacryocystorhinostomy Ophthal. Plast. Reconstr. Surg., 24 (4) (2008), pp. 338-40

A.M. Dolmetsch Nonlaser endoscopic endonasal dacryocystorhinostomy with adjunctive mitomycin C in nasolacrimal duct obstruction in adults Ophthalmol,117(2010), pp.1037-40

G. Erdoğan, C. Unlü, E.T. Vural, et al. Inferior flap anastomosis in external dacryocystorhinostomy Ophthal. Plast. Reconstr. Surg., 26 (4) (2010), pp. 277-280

C. Evereklioglu, A. Oner, M.A. Somdaş, et al. Figure-of-eight vertical mattress suture technique for anterior flap suspension to overlying tissues in external dacryocystorhinostomy Am. J. Ophthalmol., 143 (2) (2007), pp. 328-333

T. Fayers, T. Laverde, E. Tay, J.M. Olver Lacrimal surgery success after external dacryocystorhinostomy: functional and anatomical results using strict outcome criteria Ophthal. Plast. Reconstr. Surg., 25 (6) (2009), pp. 472-475

M. Feretis, J.R. Newton, B. Ram, F. Green Comparison of external and endonasal dacryocystorhinostomy J. Laryngol. Otol., 123 (2009), pp. 315-319

S.K. Freitag, J.J. Woog Congenital nasolacrimal duct obstruction Ophthalmol. Clin. North Am., 13 (4) (2000), pp. 705-718

F. Ghosheh, S. Kathuria Massive subcutaneous emphysema mimicking necrotizing fasciitis after dacryocystorhinostomy Ophthal. Plast. Reconstr. Surg., 21 (2005), pp. 389-391

I.H. Girgis Dacryocystorhinostomy J. Laryngol. Otol., 82 (2) (1968), pp. 149-152.

R.A. Goldberg Endonasal dacryocystorhinostomy: is it really less successful? Arch. Ophthalmol., 122 (1) (2004), pp. 108-110

M.S. Harrison, A.K. Mukherjee Dacryocystorhinostomy in children and infants J. Laryngol. Otol., 81 (1) (1967), pp. 45-50

J. Hartikainen, R. Grenman, P. Puukka, H. Seppa Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy Ophthalmology, 105 (1998), pp. 1106-1113

L.M. Henry Results of intranasal dacryocystorhinostomy Br. J. Ophthalmol., 17 (9) (1933), 550-552

L.D. Hurley, C.T. Westfall, J.W. Shore Prophylactic use of antibiotics in oculoplastic surgery Int. Ophthalmol. Clin., 32 (1992), pp. 165-178

C.E. Iliff A simplified dacryocystorhinostomy. 1954–1970 Arch. Ophthalmol., 85 (5) (1971), 586-591

L.T. Jones The cure of epiphora due to canalicular disorders, trauma and surgical failures on the lacrimal passages Trans. Am. Acad. Ophthalmol. Otolaryngol., 66 (1962), pp. 506-524

M.M. Krasnov Ultrasonic dacryocystorhinostomy Am. J. Ophthalmol.,72 (1) (1971), pp.200-1

J. Lee, J.C. Flanagan Complications associated with silicone intracanalicular plugs Ophthal. Plast. Reconstr. Surg., 17 (6) (2001), pp. 465-469

T.S. Lee, J.J. Woog Endonasal dacryocystorhinostomy in the primary treatment of acute dacryocystitis with abscess formation Ophthal. Plast. Reconstr. Surg., 17 (2001), pp. 103-106

D. Liermann, J. Berkefeld, U. Fries, et al. Balloon dacryoplasty: an alternative treatment for obstructed tear ducts Ophthalmologica, 210 (1996), pp. 319-324

C. Lim, P. Marin, F. Benger, et al. Lacrimal canalicular bypass surgery with the lester jones tube Am. J. Ophthalmol., 137 (1) (2004), pp. 101-108

V. Limawararut, A.A. Valenzuela, T.J. Sullivan, et al. Cerebrospinal fluid leaks in orbital and lacrimal surgery Surv. Ophthalmol., 53 (2008), pp. 274-284

S. Maini, N. Raghava, R. Youngs, et al. Endoscopic endonasal laser versus endonasal surgical dacryocystorhinostomy for epiphora due to nasolacrimal duct obstruction: prospective, randomized, controlled trial J. Laryngol. Otol., 121 (2007), pp. 1170-1176

R.N. Ma’luf, G. Dbaibo, G.F. Araj, B. Noureddin Bacterial flora of the ocular fornix in patients with lacrimal silicone tubes Ann. Ophthalmol., 33 (1) (2001), pp. 31-34

M.R. Mathew, R. McGiness, L.A. Webb, et al. Patient satisfaction in our initial experience with endonasal endoscopic non-laser dacryocystorhinostomy Orbit, 23 (2004), pp. 77-85

M. McDonogh, J.H. Meiring Endoscopic transnasal dacryocystorhinostomy J. Laryngol. Otol., 100 (1989), pp. 585-587

D.L. McLachlan, G.M. Shannon, J.C. Flanagan Results of dacryocystorhinostomy: analysis of the reoperations Ophthalmic Surg., 11 (7) (1980), pp. 427-430

McMurray CJ, McNab AA, Selva D. Late failure of dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg. 2011 Mar-Apr;27(2):99-101. doi: 10.1097/IOP.0b013e3181d35267. PMID: 20724868.

L.B. Nelson, J.H. Calhoun, H. Menduke Medical management of congenital nasolacrimal duct obstruction Ophthalmology, 92 (1985), pp. 1187-1190

T.S. Nowinski, J.C. Flanagan, J. Mauriello Pediatric dacryocystorhinostomy Arch. Ophthalmol., 103 (1986), pp. 1226-1229.

J.J. Older. Routine use of a silicone stent in a dacryocystorhinostomy, Ophthalmic Surg., 13 (11) (1982), pp. 911-915

J.C. Orcutt, A. Hillel, E.A. Weymuller Jr Endoscopic repair of failed dacryocystorhinostomy Ophthal. Plast. Reconstr. Surg., 6 (1990), pp. 197-202

Pediatric. Eye. Disease Investigator Group Primary treatment of nasolacrimal duct obstruction with probing in children younger than 4 Years Ophthalmology, 115 (2008), pp. 577-584

J.D. Perry, M. Maus, T.S. Nowinski, R.B. Penne Balloon catheter dilation for treatment of adults with partial nasolacrimal duct obstruction: a preliminary report Am. J. Ophthalmol., 126 (1998), 811-816

G. Picó A modified technique of external dacryocystorhinostomy Am. J. Ophthalmol., 72 (4) (1971), pp. 679-690

G. Plaza, F. Betere, A. Nogueira Transcanalicular dacryocystorhinostomy with diode laser: long-term results Ophthal. Plast. Reconstr. Surg., 23 (2007), pp. 179-182

R. Robinson, Turner, P. Brettle, et al. The treatment of epiphora with balloon dacryocystoplasty Eye, 7 (1993), pp. 687-690

N. Rosen, I. Ashkenazi, M. Rosner Patient dissatisfaction after functionally successful conjunctivodacryocystorhinostomy with Jones tube Am. J. Ophthalm., 117 (1994), pp.636-42

S.A. Sadiq, C.E. Hugkulstone, N.S. Jones, R.N. Downes Endoscopic holmium YAG laser dacryocystorhinostomy Eye, 10 (1996), pp. 43-46

V. Sharma, P.A. Martin, R. Benger, et al. Evaluation of the cosmetic significance of external dacryocystorhinostomy scars Am. J. Ophthalmol., 140 (3) (2005), pp. 359-362

G.A. Shun-Shin Endoscopic dacryocystorhinostomy: a personal technique Eye, 12 (1998), pp. 467-470

J.A. Sivak-Callcott, J.V. Linberg, S. Patel Ultrasonic bone removal with the Sonopet Omni: a new instrument for orbital and lacrimal surgery Arch. Ophthalmol., 123 (11) (2005), pp. 1595-1597

Sonopet OMNI Catalog, 2010. Accessed at

S. Tao, D.R. Meyer, J.W. Simon, et al. Success of balloon catheter dilation as a primary or secondary procedure for congenital nasolacrimal duct obstruction Ophthalmology, 109 (2002), pp. 2108-2111

A. Tsirbas, A.A. McNab Secondary haemorrhage after dacryocystorhinostomy Clin. Exp. Ophthalmol., 28 (1) (2000 Feb), pp. 22-25

H. Usul, K. Kuzeyli, E. Cakir, et al. Meningitis and pneuomocephalus. A rare complication of external dacryocystorhinostomy J. Clin. Neurosci., 11 (2004), pp. 901-902

E.R. Veirs The use of cautery in external dacryocystorhinostomy Arch. Ophth., 82 (4) (1969), 489-490

M.J. Walland, G.E. Rose Soft tissue infections after open lacrimal surgery Ophthalmology, 101 (1994), pp. 608-611

D.A. Weinberg Response to evaluation of the cosmetic significance of external dacryocystorhinostomy scars. Am. J. Ophthalmol., 141 (4) (2006), p. 780

R.E. Wesley, J.B. Bond Intranasal procedures for successful lacrimal surgery Ophthal. Plast. Reconstr. Surg., 2 (1986), pp. 153-157

J.L. Williams, B.G. Hill A simplified external dacryocystorhinostomy Br. J. Ophthalmol., 28 (8) (1944), pp. 407-410

J.F. Wong, J.J. Woog, M.J. Cunningham, et al. A multidisciplinary approach to a typical lacrimal obstruction in childhood Ophthal. Plast. Reconstr. Surg., 15 (1999), pp. 293-298

J.J. Woog, R.H. Kennedy, P.L. Custer, et al. Endonasal dacryocystorhinostomy: a report by the American Academy of Ophthalmology, Ophthalmology, 108 (12) (2001), pp. 2369-2377

P.J. Wormald, J. Kew, A. van Hasselt Intranasal anatomy of the nasolacrimal sac in endoscopic dacryocystorhinostomy Otolaryngol. Head Neck Surg., 123 (2000), pp. 307-310

B. Yacizi, Z. Yacizi Frequency of the common canaliculus. A Radiological Study Arch. Ophthalmol. (118) (2000), pp. 1381-1385

C. Yildirim, V. Yaylali, A. Esme, S. Ozden Long-term results of adjunctive use of mitomycin C in external dacryocystorhinostomy Int. Ophthalmol., 27 (1) (2007), pp. 31-35

Y.F. Yilmaz, M. Ozcan, A. Titiz, A. Unal Meningoencephalocele as a rare cause of cerebrospinal fluid fistula during dacryocystorhinostomy Ophthal. Plast. Reconstr. Surg., 24 (2008), pp. 240-241




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