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August 1960

External Dacryocystorhinostomy

Author Affiliations

Longview, Wash.

Arch Otolaryngol. 1960;72(2):194-196. doi:10.1001/archotol.1960.00740010199008

The purpose of this paper is to present again the value of dacryocystorhinostomy by the external approach. During recent years there has been a trend by otolaryngologists to perform this operation by an intranasal or an intranasal plus transeptal approach. Various advantages of these techniques and disadvantages of the external operation have been advocated. However, this external operation has proven so simple and has given such happy results that I should like to describe again the technique and results. The various symptoms, diagnostic tests, indications for surgery, and the pathological findings have been well told in the literature, so no mention of these will be made.

The technique of the operation is essentially the same as the Dupuy-Dutemps procedure.1 The incision begins slightly above the level of the inner canthus and midway between the canthus and root of the nose. It is carried downward in a semilunar fashion for a