Dacryocystorhinostomy

Dacryocystorhinostomy, or rhinostomy, is a surgical operation that is performed to restore the patency of the lacrimal canal and nasolacrimal duct after they are blocked or injured. It is performed if there are problems with draining tears from the eye and mucus from the nose.

Dacryocystiothenostomy (or dacryostomy) is an artificial opening that is created in the nasal septum to ensure patency of the nasolacrimal duct. It allows tears and mucus to pass freely from the eye into the nasal cavity and then into the throat.

The procedure is performed under local or general anesthesia. The surgeon makes a small incision on the nasal septum and creates an opening in the desired location. Then he installs a special tube into it, which connects the nasolacrimal duct to the nasal cavity.

After the operation, the patient must follow certain rules: avoid getting water into the nose and not touching the eyes with your hands. It is also recommended to use special eye drops to avoid irritation and inflammation.

In general, dacryocystorhinostomy is an effective method for treating nasolacrimal duct blockage and restoring lacrimal duct patency. However, like any other surgical procedure, it may have some risks and complications. Therefore, before surgery, it is necessary to carefully assess the patient’s condition and select the most appropriate treatment method.

Dacryocestorhinostomoplasty is a surgical operation to restore the patency of the nasolacrimal canal and open the nasal passages. In infants, nasal breathing is impaired due to a purulent-inflammatory process in the nasopharynx. In adults, the lumen of the lacrimal canals is narrowed due to various inflammatory processes - dacryocystitis, plastic surgery of the nose and other foreign bodies.

Despite its apparent simplicity, the operation is complex and requires certain skills, certain equipment and good knowledge of pathological anatomy.

Untimely surgical intervention can lead to a number of complications, as a result of which the size of the nasal cavity increases, and scarring may appear in the ethmoid labyrinth. The development of complications may result in complete closure of the nasolacrimal duct. These include malnutrition of the cornea, scar formation on the nasal septum, chronic dacryocystitis, increased lacrimation, and recurrent inflammatory processes of the ethmoidal labyrinth. That is why it is not recommended to self-medicate and even puncture the nasolacrimal sinuses at home; they are only a temporary measure to eliminate the problem.