![]() Interment at Hope Cemetery in the spring followed by a memorial with family. A special thanks to his friend, Pat, for her love and support over the years. Many fond memories were made with Mike over family dinners and games night. He will be dearly missed by his cousins and extended family. Beloved son of Gloria (nee McKenna) and Norman Strong, predeceased. Mike enjoyed communing with nature and spent countless hours appreciating its beauty through a camera lens and woodland hikes. It is with sadness that we announce the passing of Michael Norman Strong at 59 years of age on December 31, 2022. All the patients were subjected to revision surgery and subjective improvement in 92% of the patients reported at the time of reporting of the study.Introduction | Contact Information | Directions | Current Services | Resource Links An attempt is made to classify the causes and find suitable remedy.RESULTS:36% of the patients showed tendency to form synaechiae, 18.6% of patients presented with thick lacrimal crest, 9% of them showed formation of a thin veil like membrane over the neo-ostium. ![]() ![]() A detailed history taking and endoscopic examination done to find the cause of failure. Thus this study precludes the role of revision DCR.Materials and Methods: 50 patients who underwent endonasal DCR surgery at GGH Kurnool and reported with symptoms of returning of epiphora, purulent discharge from the eye were included. OBJECTIVE OF THE STUDY: This study also attempts to determine the causes of failure of endonasal DCR and its subsequent management. This study makes an attempt to review retrospectively and prospectively to evaluate the degree of recurrence and causes of failure. Recurrence of epiphora and closure of the neo opening is described and observed are labeled as failed endonasal DCR. Various modifications in the form of usage of micro drill, application of Mitomycin C and preserving the nasal flap to line the opening in the sac to name a few are being used. Conclusion: This technique for treatment of obstruction of the nasolacrimal system is simple and safe, and may obviate the use of more invasive procedures.Įndoscopic Intra nasal approach to by-pass the obstruction of lacrimal apparatus is a simple and commonly practiced surgery among the ENT Surgeons. The last clinical control revealed complete resolution of epiphora in 35 eyes and partial resolution in four one patient did not improve. Immediate complications were: mild pain (n= 5), severe pain (n= 1), minimal epistaxis (n= 7), and moderate epistaxis (n= 1). The average time for the procedure was 25 min (range 10–60 min). Results: The technical success rate was 100%. After pulling out the guidewire, the stent was advanced in retrograde fashion and released into the sac and the nasolacrimal duct. The procedure was performed by introducing a guidewire through the superior punctum into the canaliculus and advancing it across the obstruction into the inferior meatus of the nasal cavity. ![]() The set designed by Song was used in all patients. Methods: Forty polyurethane stents were placed under fluoroscopic guidance in 35 consecutive patients with epiphora due to total or partial obstruction of the nasolacrimal system. Purpose: To present our experience in the treatment of nasolacrimal occlusion by means of polyurethane stents. ![]()
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