Dacriocistorrinostomía transcanalicular con láser diodo en el tratamiento de la obstrucción primaria adquirida del conducto nasolagrimal

  1. De las Heras, Paula M 1
  2. Fernández Cascón, Sara 2
  3. Gil-Carcedo Sañudo, Elisa 1
  4. Rettig Infante, Isidora 1
  5. Herrero Agustín, Javier 1
  6. Herrero Calvo, David 1
  1. 1 Hospital Universitario Pío del Río Hortega
    info

    Hospital Universitario Pío del Río Hortega

    Valladolid, España

    ROR https://ror.org/05jk45963

  2. 2 Complejo Asistencial Universitario de León
    info

    Complejo Asistencial Universitario de León

    León, España

    ROR https://ror.org/05gn84d31

Revue:
Revista ORL

ISSN: 2444-7986,  2444-7986

Année de publication: 2021

Volumen: 12

Volumen: 2

Type: Article

DOI: 10.14201/ORL.25268 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

D'autres publications dans: Revista ORL

Résumé

Primary acquired nasolacrimal infrasacal duct obstruction (PANDO) is a common disorder in middle aged an older patients leading to chronic epiphora and blepharitis as well as recurring or chronic dacryocystitis. In the treatment of PANDO, external dacryocystorhinostomy (DCR) is still considered to be “the gold standard “ with success rates above 85%. However in recent years external DCR is considered an invasive procedure that puts at risk the medial structures of the eyelid including the physiological canalicular pump mechanism and leave patient with an uncosmetic scar. These risks are potentially avoidable by performing less invasive techniques or choosing an endonasal approach (endoscopic or laser modified). One disadvantage of laser modified surgery is the economic inversion because of the high cost of the equipment and maintenance.

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