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The Use of Cautery in External Dacryocystorhinostomy
Everett R. Veirs, MD
Arch Ophthalmol. 1969;82(4):489-490.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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MANY ophthalmologists prefer not to perform external dacryocystorhinostomy, and some others perform the procedure so infrequently that the percentage of good results is discouraging. The purpose of this paper is to describe a simple diathermy technique which will increase the cure rate following this difficult operation. External dacryocystorhinostomy, performed in the routine manner, is more effective when the mucosal flaps are fashioned differently and cautery is used to enlarge the membranous anastomosis.
Technique
After a large amount of the bone which separates the lacrimal sac from the nasal mucosa has been removed, fashion flaps of the lacrimal sac mucosa and of the nasal mucosa so that they are hinged anteriorly and later can be sutured together. (In adults, the osseous anastomosis should be approximately 15 mm in diameter.)
To enlarge the membranous anastomosis between the lacrimal sac and the nasal cavity, apply diathermy (high frequency voltage) (beginning about 2 mm
. . . [Full Text PDF of this Article]
Author Affiliations
Temple, Tex
From the Department of Ophthalmology, Scott and White Clinic, Temple, Tex.
Footnotes
Submitted for publication June 23, 1969.
Reprint requests to Department of Ophthalmology, Scott and White Clinic, Temple, Tex 76501 (Dr. Veirs).
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