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Dacryocystectomy: A fibrin glue-assisted subfascial excision
This article describes a technique of dacryocystectomy involving dissection within the subfascial plane, in which the lacrimal sac fascia is preserved and the orbital fat remains undisturbed. The lacrimal sac cavity was directly injected with Tisseel fibrin glue mixed with trypan blue. This led to s...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391459/ https://www.ncbi.nlm.nih.gov/pubmed/37202965 http://dx.doi.org/10.4103/IJO.IJO_2667_22 |
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author | Tong, Jessica Y Selva, Dinesh |
author_facet | Tong, Jessica Y Selva, Dinesh |
author_sort | Tong, Jessica Y |
collection | PubMed |
description | This article describes a technique of dacryocystectomy involving dissection within the subfascial plane, in which the lacrimal sac fascia is preserved and the orbital fat remains undisturbed. The lacrimal sac cavity was directly injected with Tisseel fibrin glue mixed with trypan blue. This led to sac distension and facilitated its separation from surrounding periosteal and fascial attachments. Staining the lacrimal sac epithelium improved definition of the mucosal lining. Transverse sections of the lacrimal sac specimen were histologically analyzed, which confirmed that dissection was completed within a subfascial plane. The technique herein described facilitates en bloc excision of the lacrimal sac without breaching the fascial plane that separates the sac from orbital fat. |
format | Online Article Text |
id | pubmed-10391459 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-103914592023-08-02 Dacryocystectomy: A fibrin glue-assisted subfascial excision Tong, Jessica Y Selva, Dinesh Indian J Ophthalmol Surgical Technique This article describes a technique of dacryocystectomy involving dissection within the subfascial plane, in which the lacrimal sac fascia is preserved and the orbital fat remains undisturbed. The lacrimal sac cavity was directly injected with Tisseel fibrin glue mixed with trypan blue. This led to sac distension and facilitated its separation from surrounding periosteal and fascial attachments. Staining the lacrimal sac epithelium improved definition of the mucosal lining. Transverse sections of the lacrimal sac specimen were histologically analyzed, which confirmed that dissection was completed within a subfascial plane. The technique herein described facilitates en bloc excision of the lacrimal sac without breaching the fascial plane that separates the sac from orbital fat. Wolters Kluwer - Medknow 2023-05 2023-05-17 /pmc/articles/PMC10391459/ /pubmed/37202965 http://dx.doi.org/10.4103/IJO.IJO_2667_22 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Surgical Technique Tong, Jessica Y Selva, Dinesh Dacryocystectomy: A fibrin glue-assisted subfascial excision |
title | Dacryocystectomy: A fibrin glue-assisted subfascial excision |
title_full | Dacryocystectomy: A fibrin glue-assisted subfascial excision |
title_fullStr | Dacryocystectomy: A fibrin glue-assisted subfascial excision |
title_full_unstemmed | Dacryocystectomy: A fibrin glue-assisted subfascial excision |
title_short | Dacryocystectomy: A fibrin glue-assisted subfascial excision |
title_sort | dacryocystectomy: a fibrin glue-assisted subfascial excision |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391459/ https://www.ncbi.nlm.nih.gov/pubmed/37202965 http://dx.doi.org/10.4103/IJO.IJO_2667_22 |
work_keys_str_mv | AT tongjessicay dacryocystectomyafibringlueassistedsubfascialexcision AT selvadinesh dacryocystectomyafibringlueassistedsubfascialexcision |