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- W4386743247 abstract "Endoscopic dacryocystorhinostomy (DCR) is fast becoming the first choice in managing nasolacrimal duct obstructions owing to its multiple advantages, better instrumentation, and better training opportunities. With increasing use, numerous circumstances can be classified under difficult scenarios [1–7], including encountering a grossly thick frontal process of maxilla, which may be difficult to manage without powered drills. Endoscopic DCR becomes a challenge in a post-trauma setting since endoscopic anatomy may be distorted like loss of positional relationship of the middle turbinate (MT) with the lacrimal sac, loss of spatial relationship between the MT and bulla ethmoidalis, roof at a lower level, MT fractures, septal perforations, and a breach in the periorbital with fat prolapse in the vicinity of the lacrimal sac. Other complex scenarios include post-sinus surgery, lacrimal sac diverticula, intra-sac granulomas, and nasolacrimal duct obstructions in the setting of autoimmune disorders. Some extremely difficult but unique scenarios like DCRs in unilateral arhinia have been demonstrated separately in this atlas." @default.
- W4386743247 created "2023-09-15" @default.
- W4386743247 creator A5087998377 @default.
- W4386743247 date "2023-01-01" @default.
- W4386743247 modified "2023-09-26" @default.
- W4386743247 title "Difficult Endoscopic DCR Scenarios" @default.
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- W4386743247 doi "https://doi.org/10.1007/978-981-99-1401-2_69-1" @default.
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