Dacryocystorhinostomywith transcutaneous access is not a reason for a cosmetological treatment

Abstract

External dacryocystorhinostomy is a highly effective surgery using for treatment the obstruction of the lacrimal ducts of various etiologies and is still relevant from the last century to the present. However, this method is quite labor-intensive for the surgeon, traumatic for the patient, and the result is not always cosmetically satisfactory, since one of the significant disadvantages of external dacryocystorhinostomy is the formation of a scar at the point of the skin incision. In modern conditions, the presence of a postoperative scar on the face brings some doubts among young patients, especially women, which inclines this group of patients towards choosing the endonasal approach, which in turn does not always lead to a positive result in restoring the patency of the lacrimal ducts. Various techniques for applying dacryocystorinoanastomosis and suturing the surgical wound present an extra complexity, and the formation of a postoperative skin scar that is cosmetically unsatisfactory for the patient is one of its main drawbacks in the modern terms of idea of an aesthetic result. The use of microsurgical technology, modern suture material is aimed to prevent the development of cicatricial deformation of the postoperative scar. The purpose of this work was to evaluate the cosmetic results of external dacryocystorhinostomy using the microsurgical technique of layer-by-layer tissue suturing. Keywords: external dacryocystorinostomy, dacryocystitis, suturing of a postoperative wound.