RESUMEN
Recent progress in microsurgery has led to a reappraisal of the endonasal approach to the lacrymal sac. The lacrymal duct is located in the orbito-nasal septum and is visible in the anterior part of the middle meatus. A technique is described which was applied in 20 cases, with one complete failure and two temporary failures, the patients having been successfully operated upon a second time.
Asunto(s)
Aparato Lagrimal/cirugía , Cavidad Nasal/cirugía , Adolescente , Niño , Preescolar , Enfermedad Crónica , Dacriocistitis/cirugía , Dacriocistorrinostomía , Femenino , Humanos , Aparato Lagrimal/anatomía & histología , Aparato Lagrimal/patología , Masculino , Microcirugia/métodos , Mucosa Nasal/cirugíaRESUMEN
The authors describe the various routes of approach to the deep recesses of the pterygo-maxillary fossa. A brief historical review indicates the importance of the work of Golding-Wood who started this type of surgery. Description of the personal technique of the authors via a trans-maxillary approach. Review of the endo-nasal approach of Poch-Vinals by cryotherapy and of M. Port mann by electro-coagulation. A parallel is then drawn between the trans-maxillary approach and the endo-nasal approach of Prades by dissection from the spheno-palatine orifice. The respective indications are discussed.