Anatomy of the Orbit, Lacrimal Apparatus, and Lateral Nasal Wall

2006 ◽  
Vol 39 (5) ◽  
pp. 855-864 ◽  
Author(s):  
John B. Chastain ◽  
Raj Sindwani
Keyword(s):  
Lateral Nasal Wall ◽  
Lacrimal Apparatus

The ‘swing-door’ technique for uncinectomy in endoscopic sinus surgery

1998 ◽  
Vol 112 (6) ◽  
pp. 547-551 ◽  
Author(s):  
P. J. Wormald ◽  
Mike McDonogh
Keyword(s):  
Surgical Technique ◽  
Endoscopic Sinus Surgery ◽  
Traditional Method ◽  
Standard Technique ◽  
Sinus Surgery ◽  
New Technique ◽  
Lateral Nasal Wall ◽  
Lacrimal Apparatus ◽  
A New Technique ◽  
Historical Controls

AbstractUncinectomy is an important step in endoscopic sinus surgery. The traditional method of performing uncinectomy has the risk of penetration of the lamina papyracea with orbital fat exposure. If the orbital penetration is not recognized, major complications may follow. In this study the authors used historical consecutive controls to compare the incidence of orbital penetration, identification of the natural ostium and lacrimal apparatus injury by the traditional surgical technique and a new technique of uncinectomy. Six hundred and thirty-six uncinectomies have been performed using the ‘swing-door’ technique. The 636 uncinectomies performed prior to changing techniques were used as historical controls. The incidence of orbital penetration (six compared to 0; p<0.05) and ostium non-identification (42 not identified as compared to 0; p<0.001) was significantly less with the new technique. One lacrimal injury occurred with the ‘swing-door’ technique compared to zero with the standard technique (p>0.05). The techniques are described and the complications discussed. The authors recommend this technique as it is easy to learn, allows removal of the uncinate flush with the lateral nasal wall and allows easy identification of the natural ostium of the maxillary sinus.

Rotation-Transposition Correction of Nasal Deformity in Tessier Number 1 and 2 Clefts

2009 ◽  
Vol 46 (6) ◽  
pp. 674-680 ◽  
Author(s):  
Mamoon Rashid ◽  
Muhammad Zia ul Islam ◽  
Muhammad Sarmad Tamimy ◽  
Ehtesham ul Haq ◽  
Samina Aman ◽  
...  
Keyword(s):  
Lateral Nasal Wall ◽  
Nasal Deformity ◽  
Postoperative Results ◽  
Transposition Flap ◽  
Patients Âgés ◽  
Female Patients ◽  
Minimal Scarring ◽  
Flap Viability ◽  
Alar Rim

Objective: To formulate a standardized procedure for repair of the nasal component of Tessier number 1 and 2 clefts. Patients and Methods: The procedure was performed from 1998 to 2007 in 13 patients with congenital nasal clefts of different degrees of expression corresponding to Tessier 1 and 2. The patients’ ages ranged from 3 months to 28 years. There were 10 male and three female patients. In the absence of any standard published technique for these rare defects, we devised our own method, which we find uniformly applicable to all such cases. We use a composite muco-chondro-cutaneous lateral alar flap to recreate the alar rim. The resulting defect on the lateral nasal wall is then covered with a transposition flap from the dorsum. An alar rim z-plasty was added in cases where notching was evident. Results: In all cases, no problem of flap viability was encountered and all healed well with minimal scarring. The postoperative results were satisfactory and have remained stable over an average 6-month follow-up period. Conclusions: We recommend this technique to be used for the correction of nasal deformity associated with Tessier clefts number 1 and 2. We feel that this technique is relatively simple and easily reproducible.

Paranasal Sinus Development in Chronic Sinusitis, Cystic Fibrosis, and Normal Comparison Population: A Computerized Tomography Correlation Study

1997 ◽  
Vol 11 (4) ◽  
pp. 275-282 ◽  
Author(s):  
Hung Jeff Kim ◽  
Ellen M. Friedman ◽  
Marcelle Sulek ◽  
Newton O. Duncan ◽  
Charles McCluggage
Keyword(s):  
Cystic Fibrosis ◽  
Maxillary Sinus ◽  
Paranasal Sinus ◽  
Chronic Sinusitis ◽  
Correlation Study ◽  
Uncinate Process ◽  
Ct Scans ◽  
Lateral Nasal Wall ◽  
Transverse Diameter ◽  
Sinus Disease

Chronic sinus disease in patients with and without cystic fibrosis may have an impact on the pattern of paranasal sinus pneumatization. Arrest of pneumatization has been reported in both of these conditions. To assess the development of the paranasal sinuses in relationship to chronic sinusitis and cystic fibrosis (CF), a retrospective review of coronal CT scans of the age-matched patients with no previous sinus disease, patients with chronic sinusitis, and cystic fibrosis patients was conducted. The patients’ ages ranged from 4 to 17 years. The maxillary sinus volume, anteroposterior diameter, and greatest transverse diameter and height were determined using image analysis software after the coronal CT scans were scanned into Macintosh computer. The size of the maxillary sinus increased with advancing age in the control and chronic sinusitis group, but not in the patients with cystic fibrosis. The patients with cystic fibrosis had a statistically significant smaller maxillary sinus size. Approximately 50% of the patients with chronic sinusitis had anatomic anomalies, the most common being paradoxical middle turbinates. The CT scans of CF patients were characterized by uncinate process demineralization and medial displacement of the lateral nasal wall in the middle meatus, and decreased maxillary sinus pneumatization.

An endoscopic approach to the deviated nasal septum – a preliminary study

1998 ◽  
Vol 112 (10) ◽  
pp. 934-939 ◽  
Author(s):  
Dipak Ranjan Nayak ◽  
R. Balakrishnan ◽  
K. Deepak Murthy
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Endoscopic Approach ◽  
Lateral Nasal Wall ◽  
Combined Approach ◽  
Deviated Nasal Septum ◽  
Nasal Endoscope ◽  
Preliminary Study

AbstractThe authors have used the nasal endoscope for the precise identification of pathological abnormalities of the nasal septum in relation to the lateral nasal wall including the osteo-meatal complex and in its ultraconservative management. The aim of the study was to compare the efficacies of endoscope-aided septoplasty (EAS) over traditional septoplasty (TS) in treating the pathological septum and turbinates, performed in 30 cases each. The subjective assessment was carried out by visual analogue scores and objective assessment by nasal endoscopy. This study demonstrates the superiority and limitations of the endoscopic approach in managing a deviated nasal septum and the turbinates. The endoscope-aided technique was found to be more effective in relieving the contact areas and nasal obstruction (p = ≤0.05). The authors advocate a combined approach – an endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation of the nasal septum.

Expansion of Antrum and Erosion of Lateral Nasal Wall Antrochoanal Polypus

1967 ◽  
Vol 81 (9) ◽  
pp. 1049-1051 ◽  
Author(s):  
D. L. Chhangani ◽  
K. K. Agarwal ◽  
S. P. Popli
Keyword(s):  
Lateral Nasal Wall

scholarly journals Expression and Regulation of S100 Fused-Type Protein Hornerin at the Ocular Surface and Lacrimal Apparatus

2017 ◽  
Vol 58 (13) ◽  
pp. 5968 ◽  
Author(s):  
Fabian Garreis ◽  
Janine Jahn ◽  
Katharina Wild ◽  
Daniel B. Abrar ◽  
Martin Schicht ◽  
...  
Keyword(s):  
Ocular Surface ◽  
Lacrimal Apparatus ◽  
Type Protein

Cystic Fibrosis in Rhinologic Practice

2002 ◽  
Vol 16 (3) ◽  
pp. 155-160 ◽  
Author(s):  
Antoni Krzeski ◽  
Dorota Kapiszewska-Dzedzej ◽  
Norbert P. Górski ◽  
Iwona Jakubczyk
Keyword(s):  
Cystic Fibrosis ◽  
Nasal Polyposis ◽  
Mucociliary Clearance ◽  
Signs And Symptoms ◽  
Control Group ◽  
Lateral Nasal Wall ◽  
Bony Destruction ◽  
Radiological Changes ◽  
Inflammatory Changes ◽  
Maxillary Sinus Hypoplasia

Background Cystic fibrosis (CF) is the most common genetic lethal disorder that affects white populations. Chronic rhinosinusitis (CRS) with extensive nasal polyposis is one of the manifestations of CF. Methods The aim of this study was to determine the prevalence and extent of CRS in CF patients. Results The study indicated that the signs and symptoms of CRS were present in all patients with CF and they were more advanced than in the control group. The most severe inflammatory changes in the paranasal sinuses were detected in patients with the dF508 gene mutation type who suffered from CRS for >3 years. Conclusions Massive nasal polyposis, dilated base of the nose, mucociliary clearance impairment, and significant radiological changes (frontal and maxillary sinus hypoplasia, bony destruction, and medial bulging of the lateral nasal wall) were identified to be the characteristic signs of the CRS in CF patients.

Alligator tears: A reevaluation of the lacrimal apparatus of the crocodilians

2005 ◽  
Vol 266 (3) ◽  
pp. 298-308 ◽  
Author(s):  
S.J. Rehorek ◽  
E.J. Legenzoff ◽  
K. Carmody ◽  
T.D. Smith ◽  
J.C. Sedlmayr
Keyword(s):  
Lacrimal Apparatus

scholarly journals Stent technique for endoscopic dacryocystorhinostomy – Our expertise

2016 ◽  
Vol 6 (21) ◽  
pp. 23-27
Author(s):  
Vlad Budu ◽  
Tatiana Decuseara ◽  
Bogdan Mocanu ◽  
Raluca Baican ◽  
Mihai Tusaliu ◽  
...  
Keyword(s):  
Success Rate ◽  
Lacrimal Sac ◽  
Lacrimal Duct ◽  
Bottom Edge ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy ◽  
Lacrimal Apparatus ◽  
The Mean ◽  
Surgery Department ◽  
The Ideal

Abstract BACKGROUND. Endoscopic dacryocystorhinostomy is known to be the ideal treatment for saccal and postsaccal stenosis of the lacrimal apparatus. Following this surgery, an important inconvenient would be the stenosis of the created ostium with consecutive epiphora. MATERIAL AND METHODS. 20 patients with chronic unilateral lacrimal duct obstruction were operated in “Prof. Dr. D. Hociota” Institute of Phono-Audiology and Functional ENT Surgery, Department I, between January 2015 and July 2015. After creating the dacryocystorhinostoma, a stent was inserted transnasally to the bottom edge of the lacrimal sac and positioned to the bony margin of the ostium. Stents used varied in size from 1 to 3 mm in diameter. We followed-up our patients at 2 weeks and 1, 3, 6 months, assessing the symptoms of the lacrimal apparatus, especially the epiphora. RESULTS. The mean age of patients varied between 31 and 65. Most of our patients were women (n=14). In a total number of 16 patients epiphora disappeared, it decreased in 2 patients, and persisted in 2 patients. There were two patients with no changes who have spontaneously eliminated the stent 2 or 3 days after the surgery. The most widely used stent size was 3 mm diameter, with a success rate of 90%. CONCLUSION. The endoscopic approach may be an effective procedure in patients with pathologies of the lacrimal apparatus. In order to achieve an efficient result, both a preoperative rigorous preparation and also postoperative medical care are necessary. In conclusion, ostium stenting represents a better way to ensure a longer period of maintaining the permeability of the lacrimal apparatus.

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