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https://hdl.handle.net/2440/10449
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Type: | Journal article |
Title: | Agger nasi cell mucosal autograft for lacrimal sac reconstruction during endonasal dacryocystorhinostomy |
Author: | Tsirbas, A. Wormald, P. |
Citation: | Orbit: the international journal on orbital disorders, oculoplastic and lacrimal surgery, 2004; 23(2):105-110 |
Publisher: | Taylor & Francis The Netherlands |
Issue Date: | 2004 |
ISSN: | 0167-6830 1744-5108 |
Abstract: | A mucosal autograft composed of agger nasi cell mucosa was used to reconstruct the lacrimal sac mucosa in a young woman with a cicatrised lacrimal sac and obstructed nasolacrimal system. The patient had undergone a previous external dacryocystorhinostomy (DCR), dacryocystectomy and revision mechanical endonasal DCR. There was persistent epiphora and at further mechanical endonasal (MEN) DCR it was noted that only a small cuff of lacrimal sac mucosa around the common canaliculus was present. To achieve a mucosal anastomosis, the agger nasi cell mucosa was removed from the cell and placed as a free mucosal graft around the common canalicular opening. Apposition with the nasal mucosa was completed with flaps from the lateral nasal wall mucosa. Postoperatively, the patient is asymptomatic with a freely draining ostium at 18 months of follow-up. |
Keywords: | Nasal Mucosa Lacrimal Apparatus Surgical Flaps Humans Dacryocystorhinostomy Cell Transplantation Transplantation, Autologous Adult Female Plastic Surgery Procedures |
DOI: | 10.1080/01676830490501613 |
Published version: | http://dx.doi.org/10.1080/01676830490501613 |
Appears in Collections: | Aurora harvest 7 Surgery publications |
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