When maxillofacial surgeons meet ophthalmologists: application of piezosurgery in dacryocystorhinostomies

A. Malcangi, P. Attimonelli, S. Sembronio, M. Di Cosola, F. Spirito, M. Covelli, G. Sborgia

Article ID: 6291
Vol 36, Issue 2S3, 2022
DOI: https://doi.org/10.23812/j.biol.regul.homeost.agents.202236.2S3.28
Received: 9 May 2022; Accepted: 9 May 2022; Available online: 9 May 2022; Issue release: 9 May 2022

Abstract

Background: Chronic obstruction of the nasolacrimal duct leads to inflammation or infection of thelacrimal sac (dacryocystitis). The aim of this study was to evaluate the clinical outcomes of piezosurgerydevice vs high-speed electric drill with a diamond burr for dacryocystorhinostomies (DCR) in patientswith external dacryocystitis.Patients and Methods: Two patient with nasolacrimal duct obstruction was recruited for the study.All procedures were performed by a maxillo-facial surgeon and an ophthalmologist. The follow-uplength was 12 months.Results: Two patients, with average age of 53.2 years old, underwent to piezosurgery device vshigh speed bur for DCR. After one year from surgery, resolution of symptoms was observed. Surgicaloutcomes showed for both patients, complete resolution of the disease.Conclusions: The authors’ results, in accordance with the literature data, indicate that piezosurgerydacryocystorhinostomy is a promising surgical technique, both in terms of results and postoperativepatient’s quality life.


Keywords

dacryocystorhinostomy;nasolacrimal duct obstruction;epiphora;dacryocystitis;piezosurgery device


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