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مقاله
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Abstract
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Title:
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A Simple Method for Endoscopic Dacryocystorhinostomy
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Author(s):
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Mohsen Naraghi MD, Sayed Ziaeddin Tabatabaii MD
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Presentation Type:
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Poster
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Mohsen Naraghi MD
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Affiliation :(optional)
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Tehran University of Medical Sciences
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E mail:
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info@naraghi.ir
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Phone:
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88881376
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Mobile:
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09121088746
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Purpose:
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In this article, simple technique on endonasal endoscopic DCR will be presented with results, mentioning the main advantages of it.
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Methods:
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After exposure of the bony crest this bone was removed by a sharp punch forceps. After total exposure of the sac, the medial wall of the sac was removed by the same punch forceps. The opening is made so large, exposing the lateral wall of sac, observing openings of the canaliculus into the sac in many cases. The nasal mucosal flap was incised to laying it over the sac. By the final trim of flap up to the remaining sac wall, fine approximating of the edges is done. The latter step is very important in preventing post operative granulation and should be done meticulously. The procedure needs no tenting by lacrimal probe and no stenting of the lacrimal system.
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Results:
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This wide rhinostomy together with nontraumatic technique avoiding mucosal damage and bone exposure at the end of procedure ensures patency in long term.
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Conclusion:
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This simple technique diminishes the expenses of powered or laser instrumentation with comparable results.
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Attachment:
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