Endoscopic DSR – Closed Tear Sac Surgery

Endoscopic DSR – Closed Tear Sac Surgery

The operations of opening of the tear sac into the nose (dacryocystorhinostomy ) is performed in cases where tear sac (lacrimal sac) and tear duct (lacrimal duct),allowing the tears to be collected and transferred to the nose,are blocked for various reasons.

In patients with epiphora and recurrent tear sac inflammations, the tear sac is surgically implanted into the nose in case the canals are not opened despite medical treatment and dilatation and when the tears cannot be transferred to the nose in sufficient amount.

Examination, differential diagnosis and treatment of tear-sac diseases are made by eye diseases specialists and surgical decision is made by eye diseases experts. 

In classical surgical techniques, the incision is made on the outside of the skin and bylocating the sac.Endoscopic tear canal surgery is performed by otolaryngologists in the nose without any skin incision,without leaving any skin cuts. Because the nasal region where the sac is being addressed is under direct view, such problems as wrong or narrow ağızlaştırmathat can be encountered in the classical method can be minimized .

In addition, revision (repeat) operations of patients whose first operation was performed with skin incision from outside and which resulted in failure are performed as endoscopic surgeries by ENT physicians. ENT physicians perform a nose examination of the patients who will undergo this operation, and determine the intranasal pathologies before surgery and, if necessary, resolve these problems during lacrimal duct surgery

A very thin silicone tube placed through the tear holes on the inside of the eyelid is extended into the nose and knotted from the inside. When the space around the tube becomes a channel and becomes permanent, the tubes are cut out through the nose.

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