Experience in navigation system use in surgical treatment of the traumatic dacryocystitis recurrence (clinical case)

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Abstract

The article presents a clinical case of surgical of a recurrent chronic purulent dacryocystitisof traumatic etiology. Under endoscopic control, the patient underwent a revisional endonasal laser dacryocystorhinostomy with bicanalicular silicone stent. All surgical steps were controlled on the navigation system display. Navigation equipment was used to accurately visualize the structures of the nasal cavity and lacrimal pathways, because the anatomy of this area was changed as a result of the midface trauma and preliminary unsuccessful surgical procedures. During surgery, the functional and anatomical patency of the lacrimal pathways was achieved. Thus, the navigation system is a useful supplementary equipment that allows identifying the lacrimal sac in complex surgical situations, to monitor the state of lacrimal passages and surrounding nasal structures, which ultimately increases the effectiveness and safety of the procedure.

About the authors

Sergej A. Karpishchenko

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: karpischenkos@mail.ru

MD, PhD, DMedSc, Professor, Head of the Department. Otorhinolaryngology Department

Russian Federation, Saint Petersburg

Natalia Yu. Beldovskaya

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: beldovskay@mail.ru

MD, PhD, Associate Professor of Ophthalmology Department

Russian Federation, Saint Petersburg

Alexey N. Aleksandrov

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: nikitich54@cloud.com

MD, PhD, Associate Professor of Otorhinolaryngology Department

Russian Federation, Saint Petersburg

Elizaveta V. Bolozneva

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: bolozneva-ev@yandex.ru

MD, PhD D, PhD, Assistant Otorhinolaryngology Department

Russian Federation, Saint Petersburg

Artemia A. Karpov

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: artemiykarpov@mail.ru

Clinical Resident, Otorhinolaryngology Department

Russian Federation, Saint Petersburg

Ana Moroziuk

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: ana.moroziuk@gmail.com

MD, Aspirant. Ophthalmology Department

Russian Federation, Saint Petersburg

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Multispiral computer tomography of nasal cavity, paranasal sinuses with contrast-enhancement of lacrimal pathways

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3. Fig. 2. General view of operating room with navigation system installed

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4. Fig. 3. The image from navigation station showing X-ray and endoscopic view of nasal cavity and lacrimal pathways

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Copyright (c) 2019 Karpishchenko S.A., Beldovskaya N.Y., Aleksandrov A.N., Bolozneva E.V., Karpov A.A., Moroziuk A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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