Laryngorhinootologie 2007; 86(8): 562-564
DOI: 10.1055/s-2007-985808
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© Georg Thieme Verlag KG Stuttgart · New York

Die endoskopische endonasale Dakryozystorhinostomie mit der Kerrison-Stanze[*]

Endoscopic endonasal dacryocystorhinostomy by means of Kerrison ForcepsDr. Jörg TörpelProf. Dr. Jens Oeken
Further Information

Publication History

Publication Date:
17 August 2007 (online)

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Summary

In endonasal endoscopic dacryocystorhinostomy bone resection to expose the saccus lacrimalis is performed using a drill in most cases. Sometimes this impairs the endoscopic view due to blood and rinsing liquid. Also, the rotating drill might injure surrounding structures. Using chisels or osteotomes during endoscopic surgery is difficult, needs assistance and permits no precise working because of the one-handed technique. As an excellent alternative we have been using Kerrison forceps of varying sizes exclusively for the resection of the bone above the saccus lacrimalis for the past six years. The bone is mostly punched away, partly fractured and then removed as bone lamella. In 134 operations that we performed this way, we could expose the saccus sufficiently without any complications. This method proved to be so efficient in our experience, that we can advocate it unreservedly.

Key Words

Endoscopic Endonasal Dacryocystorhinostomy, Kerrison Forceps, Lacrimal Duct Stenosis

01 vorgetragen auf dem 50. Österreichischen HNO-Kongress der Österreichischen Gesellschaft für HNO-Heilkunde, Kopf- und Halschirurgie, Klagenfurt, 13.-16.09.06

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01 vorgetragen auf dem 50. Österreichischen HNO-Kongress der Österreichischen Gesellschaft für HNO-Heilkunde, Kopf- und Halschirurgie, Klagenfurt, 13.-16.09.06

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