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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, 2004; 23(2):105-110
Publisher: Taylor & Francis The Netherlands
Issue Date: 2004
ISSN: 0167-6830
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; Reconstructive Surgical Procedures; Cell Transplantation; Transplantation, Autologous; Adult; Female
RMID: 0020041655
DOI: 10.1080/01676830490501613
Appears in Collections:Surgery publications

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