ABSTRACT
A new method for the formation of a rhinostoma in patients with stenosed lumen of the lacrimal sac is proposed. It consists in the following: the incision of the soft tissues and the opening in the bone are made as low as possible to be closer to the lacrimal sac, and the nasolacrimal duct is used for the formation of a rhinostoma. Seventy-two operations were performed in patients with stenosed lumen of the lacrimal sac: 32 using sparing dacryocystorhinostomy (group 1) and 40 using the proposed technique (group 2). The results of 66 operations (30 in group 1 and 36 in group 2) were observed in remote periods (from 8 months to 9 years). In group 1 complete effect was attained in 20 out of 30 cases (66.7%), in group 2 in 33 out of 36 (91.6%). Hence, the proposed method for the formation of rhinostoma is highly effective.
