Atlas of Nose and Paranasal Surgeries

ATLAS OF NOSE AND PARANASAL SURGERIES 31 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 The superior mucoperiosteal flap is then repositioned under the drilled area. The use of stents is not routinely performed, but can be used in revision surgery or in fibrotic lacrimal sac. m. BIKA stent positioning. The surgeon makes lacrimal canaliculi (inferior and superior) dilatation and puts the stent from the external to the internal part (endonasal) of the canaliculus, tying the two ends of the stent under endoscopic vision. (continued)... ...(continued) tion between the ostium and the septum or the middle turbinate, after endonasal DCR or DCR via an external approach. Significant complica- tions associated with endonasal DCR are lid hematoma and orbital fat prolapse (up to 28 % of cases). Less frequent adverse reactions include 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 ti et e t e sti a t e se t r t e i le t r i ate, after e asal r ia a e ter al a r ac . i i ca t c lica- ti s a s ciate it e asal are li e at a a r ital fat r la se ( t f cases). e s fre e t a erse reacti s i cl e Fig. 6.13 BI stent positioning. he surgeon akes lacrimal canaliculi (inferior and superior) dilatation and puts the stent fro the external to the internal part (endo- nasal) of the canaliculus, tying the two ends of the stent under endoscopic vision m