Obstruction of the lacrimal drainage system.
Obstruction of the lacrimal drainage system.
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DOI：
10.1097/00055735-200210000-00003
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发表时间：
2002-10-01
影响因子：
3.7
通讯作者：
Woog, John J
中科院分区：
文献类型：
--
作者：
Mandeville, John T H;Woog, John J
本综述涵盖了泪道流出阻塞的不断发展的概念。最近的研究通过放射学、临床和微生物学技术增加了我们对泪道引流系统的手术解剖学和病理生理学的理解。虽然外部泪囊鼻腔吻合术仍然是鼻泪管阻塞的重要治疗方法，但仍有许多值得回顾的治疗进展，包括内窥镜和经泪小管泪囊鼻腔吻合术、结膜泪囊鼻腔吻合术以及在这些手术中使用丝裂霉素 C 的进展。此外，我们总结了泪道流出道阻塞的微创技术的最新进展，包括球囊泪囊成形术、泪道支架和结膜成形术。最后，讨论了探通与冲洗、鼻内窥镜检查和内窥镜泪囊鼻腔吻合术在儿童中的作用。
This review covers evolving concepts in lacrimal outflow obstruction. Recent studies have increased our understanding of the surgical anatomy and pathophysiology of the lacrimal drainage system through radiologic, clinical, and microbiologic techniques. While external dacryocystorhinostomy remains an important treatment for nasolacrimal duct obstruction, there have been a number of therapeutic developments worthy of review, including advances in endoscopic and transcanalicular dacryocystorhinostomy, conjunctivodacryocystorhinostomy, and the use of mitomycin C in these procedures. In addition, we summarize recent advances in minimally invasive techniques for lacrimal outflow obstruction, including balloon dacryocystoplasty, lacrimal stents, and conjunctivoplasty. Finally, the roles of probing versus irrigation, nasal endoscopy, and endoscopic dacryocystorhinostomy in children are discussed.