Nasolacrimal Duct Management During Endoscopic Sinus and Skull Base Surgery.
Janine M RotsidesAlexa FrancoAbdullah AlbaderRoy R CasianoSeth M LiebermanPublished in: The Annals of otology, rhinology, and laryngology (2019)
Management after transection of the NLD varies widely. The duct may be simply transected or marsupialized, or a formal dacryocystorhinostomy can be performed. The surgeon must also choose whether to place a stent. Based on our small series and review of the literature, marsupialization or simple transection of the NLD results in a low rate of postoperative epiphora in the setting of endoscopic sinus and skull base surgery.