DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20222447
Published: 2022-09-26

A novel inverted ‘V’ flap in endo-DCR: case report

Manish Munjal, Shubham Munjal, Priyanka Arora, Salony Sharma, Vineeta Arora, Hardeep Kaur, Deeksha Chawla, Loveleen Sandhu, Gursimran Kaur, Utkarash .

Abstract


Endo-DCR has a successful outcome when the lacrimal sac is marsuplised on the nasal lateral nasal wall. The lacrimal sac and nasal mucosal edges heal by primary intention rather than by formation of granulation tissue with consequent restenosis or reclosure. An indigenous flap was utilized to cover the exposed bone following Endo-DCR in a young individual. The flap fashioned in an inverted ‘V’ prevented the granulation of secondary intent healing and thereby reclosure.


Keywords


DCR, Transnasal, Mucosal flap, Inverted V

Full Text:

PDF

References


Tsirbas A, Wormald PJ. Mechanical endonasal dacryocystorhinostomy with mucosal flaps. Br J Ophthalmol. 2003;87(1):43-7.

Sonkhya N, Mishra P. Endoscopic transnasal dacryocystorhinostomy with nasal mucosal and posterior lacrimal sac flap. J Laryngol Otol. 2009;123(3):320-6.

Hartikainen J, Antila J, Varpula M, Puukka P, Seppä H, Grénman R. Prospective randomized comparison of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy. Laryngoscope. 1998;108(12):1861-6.

Whittet HB, Shun-Shin GA, Awdry P. Functional endoscopic transnasal dacryocystorhinostomy. Eye (Lond). 1993;7:545-9.

Mann BS, Wormald PJ. Endoscopic assessment of the dacryocystorhinostomy ostium after endoscopic surgery. Laryngoscope. 2006;116(7):1172-4.

Wormald PJ. Powered endoscopic dacryocystorhinostomy. Laryngoscope. 2002;112(1):69-72.

Robert MC, Maleki B, Boulos PR. Endocanalicular laser dacryocystorhinostomy with mucosal flaps. Ophthalmic Plast Reconstr Surg. 2013;29(4):294-7.

Durvasula VS, Gatland DJ. Endoscopic dacrocystorhinostomy: long-term results and evolution of surgical technique. J Laryngol Otol. 2004;118(8):628-32.

Trimarchi M, Resti A, Bellini C, Forti M, Bussi M. Anastomosis of nasal mucosal and lacrimal sac flaps in endoscopic dacryocystorhinostomy. Eur Arch Otorhinolaryngol. 2009;266(11):1747-52.

Kansu L, Aydin E, Avci S, Kal A, Gedik S. Comparison of surgical outcomes of endonasal dacryocystorhinostomy with or without mucosal flaps. Auris Nasus Larynx. 2009;36(5):555-9.

Mahendran S, Stevens-King A, Yung MW. How we do it: the viability of free mucosal grafts on exposed bone in lacrimal surgery - a prospective study. Clin Otolaryngol. 2006;31(4):324-7.