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Flap Reconstruction Techniques in Conjunctivorhinostomy

Flap Reconstruction Techniques in Conjunctivorhinostomy This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Richard L. Arden, MD, and coworkers presented at the 1988 spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, a solution to an unusual but difficult reconstructive situation. Dacryocystorhinostomy is usually the standard approach to treat epiphora caused by lower lacrimal tract obstruction. When the pathologic cause lies in the upper lacrimal passage, however, alternate bypass or reconstructive options need to be considered. Conjunctivodacryocystorhinostomy, utilizing the Jones' tube, can effectively bypass the upper tract, but the technique may be complicated by granulation tissue formation, infection from unapposed mucosal flaps, and inefficient passage of tears through scar as a result of healing by secondary intention. Canaliculodacryocystorhinostomy affords the advantages of a physiologic reconstruction, but it is limited by availability of sufficient canaliculus, requires a lengthy and tedious dissection, and needs a microsurgical approach. We describe an alternate technique of conjunctivorhinostomy (CR) that provides http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Flap Reconstruction Techniques in Conjunctivorhinostomy

Flap Reconstruction Techniques in Conjunctivorhinostomy

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Richard L. Arden, MD, and coworkers presented at the 1988 spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, a solution to an unusual but difficult reconstructive situation. Dacryocystorhinostomy is usually the standard approach to treat epiphora caused by lower lacrimal tract obstruction. When the...
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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860220037020
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Richard L. Arden, MD, and coworkers presented at the 1988 spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, a solution to an unusual but difficult reconstructive situation. Dacryocystorhinostomy is usually the standard approach to treat epiphora caused by lower lacrimal tract obstruction. When the pathologic cause lies in the upper lacrimal passage, however, alternate bypass or reconstructive options need to be considered. Conjunctivodacryocystorhinostomy, utilizing the Jones' tube, can effectively bypass the upper tract, but the technique may be complicated by granulation tissue formation, infection from unapposed mucosal flaps, and inefficient passage of tears through scar as a result of healing by secondary intention. Canaliculodacryocystorhinostomy affords the advantages of a physiologic reconstruction, but it is limited by availability of sufficient canaliculus, requires a lengthy and tedious dissection, and needs a microsurgical approach. We describe an alternate technique of conjunctivorhinostomy (CR) that provides

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Oct 1, 1988

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