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MICROSURGICAL RECONSTRUCTION OF DESTROYED CANALICULI LACRIMALES
Author(s) -
Busse H.,
Küchle H. J.,
Greul G.
Publication year - 1980
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1980.tb04136.x
Subject(s) - bone canaliculus , medicine , lacrimal canaliculi , lacrimal sac , tears , surgery , stenosis , anatomy , canthus , intubation , radiology , eyelid
The authors describe the microsurgical technique applied for the primary and secondary reconstruction of destroyed lacrimal canaliculi. In the event of fresh injuries, they recommend the immediate repair of the mucosal tissue and the reconstruction of the muscle tissue after direct or retrograde intubation of the lumina canaliculi. For secondary reopening of a stenosis, depending on the localization and the extent of the injury, various methods can be used, such as retrograde probing, the opening of the canaliculus in the area of the punctum papilla as described by Ark, retrograde opening from the tear sac in the manner used by Sattler or from the canaliculus communis following the method of Busse and colleagues. In the event that a substitute is necessary, then the authors recommend the implantation of a hydrophilic tear duct prosthesis in combination with a conjunctivodacryocystostomy in the manner described by Stallard.