Die Behandlung von Tränenwegsstenosen aus HNO‑ärztlicher Sicht

Ginzkey, Christian; Mlynski, Robert

doi:10.1007/s00106-016-0168-0

Cited by 8 publications

(2 citation statements)

References 27 publications

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“… 2 , 3 , 4 , 5 The secondary causes, which can ultimately affect all sections of the draining lacrimal duct, include infectious, inflammatory, neoplastic, traumatic and mechanical blockage and are summarized under the term “secondary acquired nasolacrimal drainage obstruction” (SANDO). 6 , 7 At Humanitas Research Hospital, Eye center, the diagnosis lies essentially in the ophthalmological examination, including the lacrimal duct probing with the Bowman probe and, if necessary, lacrimal duct flushing. The probe serves to distinguish a so-called soft or hard stop.…”

Section: Introductionmentioning

confidence: 99%

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Epiphora and unrecognized paranasal sinuses pathology

Balia

Piscopo

et al. 2020

American Journal of Ophthalmology Case Reports

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Purpose to report five patients all presenting with persistent unilateral epiphora as a sign of unexpected and rare lesions causing Secondary Acquired Nasolacrimal Duct Obstruction (SANDO) and the risks associated to an incomplete diagnostic work-up. Observations the cases presented are: (1) Fungus ball, (2) Pyogenic granuloma, (3) Sinonasal inverted papilloma (4) Sinonasal inverted papilloma with synchronous squamous cell carcinoma, (5) Squamous cell carcinoma of the lacrimal sac. Conclusions and importance masses are uncommon but not a rare cause of nasolacrimal duct obstruction. Surgical teams performing large numbers of dacryocystorhinostomies should be aware of such pathology and perform a systematic multidisciplinary approach.

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Section: Introductionmentioning

confidence: 99%

“…Imaging procedures are subsequently performed in individual cases. 7 , 8 CT dacryocystography is the test of choice at our institution, although it is regarded as minor by other groups. 9 …”

Section: Introductionmentioning

confidence: 99%

Epiphora and unrecognized paranasal sinuses pathology

Balia

Piscopo

et al. 2020

American Journal of Ophthalmology Case Reports

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Nasolacrimal duct stenosis—Surgery with a novel robotic endoscope positioning system

Böhm¹,

Friedrich²,

Sommer³

et al. 2020

Robotics Computer Surgery

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Background: Distal nasolacrimal duct stenosis is usually treated by head and neck surgeons with transnasal endoscopic dacryocystorhinostomy (DCR). The presented clinical study discusses advantages and drawbacks of a robot-assisted endoscope positioning system, which allows for hands-free visualization of the surgical field. Material and Methods: Two patients were treated by surgical DCR. The endoscopic positioning system (Medineering ®) features a mechatronic holding arm with four segments and seven degrees of freedom. It is driven by using a foot pedal. Results: Visualization and instrumentation of the surgical field including the relevant anatomical landmarks were feasible. The endoscope position could be controlled with sufficient precision. The surgeon was able to maintain bimanual instrumentation. Conclusion: The endoscope positioning system allows for two-handed surgery, which facilitates the essential steps of the surgical procedure. If the benefit of the system is sufficient for the use in clinical routine, it has to be evaluated in repeated applications.

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Erkennung und Vermeidung von Schwierigkeiten bei der Tränenwegschirurgie

Kühnel

2018

HNO

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Surgical management of lacrimal duct obstruction beyond the canaliculi proves to be a promising endeavor in most cases. To realize the full potential of endonasal dacryocystorhinostomy, some aspects of diagnosis and differential indication setting should be considered in order to avoid errors and problems during patient selection, execution of the technical procedure, and communication with ophthalmologists. These issues are described according to the clinical management of patients; current literature is cited.

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Die Behandlung von Tränenwegsstenosen aus HNO‑ärztlicher Sicht

Cited by 8 publications

References 27 publications

Epiphora and unrecognized paranasal sinuses pathology

Epiphora and unrecognized paranasal sinuses pathology

Nasolacrimal duct stenosis—Surgery with a novel robotic endoscope positioning system

Erkennung und Vermeidung von Schwierigkeiten bei der Tränenwegschirurgie

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