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Case report
Endoscopic dacryocystorhinostomy with circumostial mitomycin C injection, simultaneous limited septoplasty and the use of tissue glue
  1. Rafal Nowak1 and
  2. Iwona Nowak2
  1. 1Eye Department, J Strus City Hospital, Poznan, Poland
  2. 2Department of Chemistry, Adam Mickiewicz University, Poznan, Poland
  1. Correspondence to Dr Rafal Nowak; raf.nowak1971{at}


Epiphora due to nasolacrimal duct obstruction is a common condition worsening one’s quality of life. It requires surgical treatment. We present a combined technique of transnasal endoscopic dacryocystorhinostomy with simultaneous limited septoplasty, circumostial mitomycin C injection and the use of tissue glue in a case of a 72-year-old patient with nasolacrimal duct obstruction complicated by septal deviation. The multiprocedure surgery was performed successfully. Follow-up time was 2 years. The patient remained asymptomatic within the observation time. Functional and anatomical success was achieved. We believe that the transnasal endoscopic dacryocystorhinostomy extended by limited endoscopic septoplasty, circumostial mitomycin C injection and the use of fibrin glue may be a solution for selected cases of nasolacrimal obstruction accompanied by significant local septal deviation.

  • ear
  • nose and throat/otolaryngology
  • ophthalmology

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  • Contributors RN has conducted the surgery and written the paper. IN has done the review on mitomycin C and tissue glue.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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