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Article
October 1952

NEW MUCOUS MEMBRANE FLAP FOR DACRYOCYSTORHINOSTOMY

Author Affiliations

PORTLAND, ORE.
From the Department of Otolaryngology, University of Oregon Medical School.

AMA Arch Otolaryngol. 1952;56(4):405-408. doi:10.1001/archotol.1952.00710020427006
Abstract

THIS PAPER is being presented with a dual purpose: (1) to stimulate interest among rhinologists in a surgical technique which they alone are best suited to perform and (2) to describe a method of using the nasal wall of the lacrimal sac as a flap which, it is hoped, will lessen the percentage of postoperative closures of the intranasal ostium.

Eminent ophthalmologists, such as Meyer Wiener1 and Peter Kronfeld,2 tell us that the intranasal approach to the lacrimal sac is the method of choice. Their reasoning is that the surgeon who performs the original operation should be able also to care best for the postoperative complications. It is in these complications that the ophthalmologist is at a great disadvantage, because most of his failures are due to closure of the intranasal window. The rhinologist, on the other hand, is equipped and trained to prevent adhesions, remove granulation tissue

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