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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...

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Detalles Bibliográficos
Autores principales: Tong, Jessica Y, Selva, Dinesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
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.
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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
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