PT  - JOURNAL ARTICLE
AU  - Rafal Nowak
AU  - Iwona Nowak
TI  - Endoscopic dacryocystorhinostomy with circumostial mitomycin C injection, simultaneous limited septoplasty and the use of tissue glue
AID  - 10.1136/bcr-2020-235565
DP  - 2020 Sep 01
TA  - BMJ Case Reports
PG  - e235565
VI  - 13
IP  - 9
4099  - http://casereports.bmj.com/content/13/9/e235565.short
4100  - http://casereports.bmj.com/content/13/9/e235565.full
SO  - BMJ Case Reports2020 Sep 01; 13
AB  - 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.