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

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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.

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Sergej Karpishchenko

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

编辑信件的主要联系方式.
Email: karpischenkos@mail.ru

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

俄罗斯联邦, Saint Petersburg

Natalia 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

俄罗斯联邦, Saint Petersburg

Alexey 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

俄罗斯联邦, Saint Petersburg

Elizaveta 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

俄罗斯联邦, Saint Petersburg

Artemia 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

俄罗斯联邦, 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

俄罗斯联邦, Saint Petersburg

参考

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版权所有 © Karpishchenko S.A., Beldovskaya N.Y., Aleksandrov A.N., Bolozneva E.V., Karpov A.A., Moroziuk A., 2019

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此作品已接受知识共享署名 4.0国际许可协议的许可
 


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