Atlas of Nose and Paranasal Surgeries

ATLAS OF NOSE AND PARANASAL SURGERIES 30 Authors: M. Trebbi, F. Mattioli, D. Soloperto, M. Bettini, L. Presutti Title: Endoscopic Dacryocystorhinostomy Book: Endoscopic Surgery of the Lacrimal Drainage System DOI: 10.1007/978-3-319-20633-2_6 © Springer International Publishing Switzerland 2016 k. Stomal stabilization. In case of chronic dacryocystitis, with recidivant infections, a purulent secretion can be visualized in this step. An aspiration with toilette and repeated lavages of this area is done. This posterior mucosal flap is just apposed to the posterior mucoperiosteal flap, precedently realized, in order to maintain open the surgical stoma. l. Intraoperative view. Stomal realization. 61 Fig. 6.11 Stomal stabilization Fig. 6.12 Intraoperative view. Stomal realization Fig. 6.13 BIKA stent positioning. The surgeon makes lacrimal canaliculi (inferior and superior) dilatation and puts the stent from the external to the internal part (endo- nasal) of the canaliculus, tying the two ends of the stent under endoscopic vision 6 Endoscopic Dacryocystorhinostomy (continued)... ...(continued) l k