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Professional Technical IVT

dacryocystorhinostomy

Pronunciation: DAK-ree-oh-SIS-toh-RYE-nos-toh-mee

Surgical procedure to create a drainage pathway between the lacrimal sac and nasal cavity.

Full Definition

Dacryocystorhinostomy (DCR) is a surgical procedure performed to treat nasolacrimal duct obstruction by creating an alternative drainage route for tears from the lacrimal sac directly into the nasal cavity. The procedure can be performed through an external approach via a skin incision or through an endonasal endoscopic approach. During surgery, a bony ostium is created between the lacrimal sac and the middle meatus of the nose, allowing tears to bypass the obstructed nasolacrimal duct. Success rates are high, with most patients experiencing resolution of tearing and discharge symptoms.

Usage

Usage note: Commonly abbreviated as DCR in clinical documentation.

In Context

  • "Endoscopic dacryocystorhinostomy was performed to address the patient's chronic epiphora." — Operative note
  • "The external dacryocystorhinostomy resulted in patent anastomosis with complete resolution of tearing." — Post-operative follow-up

Also known as

DCR lacrimal bypass surgery

Don't confuse with

dacryocystectomy conjunctivodacryocystorhinostomy

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