ライトガイドおよびナビゲーションが有用であった鼻腔サルコイドーシスに対する内視鏡下鼻内涙嚢鼻腔吻合術

• Published in: JIBI INKOKA TEMBO Vol. 57; no. 6; pp. 379 - 382
• Main Authors: 荒木, 進, 大塚, 康司, 小川, 恭生, 北村, 剛一, 岡吉, 洋平, 柴田, 元子, 鈴木, 衞, 清水, 雅明
• Format: Journal Article
• Language: Japanese
• Published: 耳鼻咽喉科展望会 2014; Society of Oto-rhino-laryngology Tokyo
• Subjects: dacryocystorhinostomy; nasal sarcoidosis
• ISSN: 0386-9687; 1883-6429
• DOI: 10.11453/orltokyo.57.379

Nasolacrimal duct obstruction used to be treated with extranasal dacryocystorhinostomy before, but nasal endoscopic dacryocystorhinostomy has recently become more common due to the development of nasal endoscopy. We report a 41-year-old man of nasolacrimal duct obstruction secondary to sarcoidosis. Epiphora in both eyes developed and endoscopic-dacryocystorhinostomy was performed to both sides. His nasal cavity was deformed and the mucous membrane was hypertrophic. We used the navigation system and 25G light guide to establish orientation. A 2.5mm diamond bur was used for dacryocystorhinostomy. A Nunchaku-type silicon tube was inserted successfully in the left side, but was inserted only half way in the right side. The left and right tubes were removed a month and 3 months after surgery. The symptom of the left eye disappeared after one and a half year but the symptom of the right eye remained.