Abstract:
:We report the intraoperative use of polyvinyl siloxane impression material to demonstrate the anatomy of the lacrimal sac, canaliculi, and lacrimal duct in a case of congenital lacrimal sac fistula. A 1-week-old boy was examined for tearing since birth. Examination revealed a left congenital lacrimal sac fistula. After a failed surgery to close the fistula with silicone intubation at 6 months of age, the patient underwent endonasal dacryocystorhinostomy performed at 14 months of age, aided by intraoperative injection of polyvinyl siloxane (trade name Reprosil) to mark and protect the nasolacrimal sac and facilitate endonasal visualization. A polyvinyl siloxane cast demonstrated the anatomy of the accessory canaliculus causing nasolacrimal duct obstruction. Postoperatively, the epiphora resolved and the fistula remained closed. The polyvinyl siloxane cast provides a 3-dimensional "ex vivo " model of the lacrimal sac, upper duct, and canalicular anatomy, and can be used in dacryocystorhinostomy surgery to identify and protect the lacrimal sac.
journal_name
Ophthalmic Plast Reconstr Surgjournal_title
Ophthalmic plastic and reconstructive surgeryauthors
Bhatnagar A,Eckstein LA,Douglas RS,Goldberg RAdoi
10.1097/IOP.0b013e31816409fcsubject
Has Abstractpub_date
2008-03-01 00:00:00pages
158-60issue
2eissn
0740-9303issn
1537-2677pii
00002341-200803000-00022journal_volume
24pub_type
杂志文章abstract:AIM:The aim of this study was to illustrate the techniques and usefulness of navigation-guided computed tomography angiography in ophthalmic plastic surgery. METHODS:Stereotactic surgeries using computed tomography angiography as the intraoperative image-guiding tool were performed in 3 patients. One patient had wides...
journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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abstract::Objective confirmation of nasolacrimal patency following dacryocystorhinostomy is a desirable postoperative goal for both the surgeon and the patient. The authors describe a simple method to demonstrate dacryocystorhinostomy patency and present a study comparing the effectiveness of this novel test with Jones fluoresc...
journal_title:Ophthalmic plastic and reconstructive surgery
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pub_type: 杂志文章,评审
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e3182a64f88
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-199212000-00010
更新日期:1992-01-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/IOP.0b013e31829bb288
更新日期:2014-03-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:2020-07-13 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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doi:10.1097/00002341-200107000-00009
更新日期:2001-07-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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更新日期:2015-07-01 00:00:00
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journal_title:Ophthalmic plastic and reconstructive surgery
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