Endoscopic Dacryocystorhinostomy (DCR) Surgery: A Step-by-Step Guide

Join Dr. Jorge Corona in the operating room as he performs endoscopic dacryocystorhinostomy (DCR) surgeries on eight patients, including three bilateral cases, with various types of lacrimal drainage obstruction. Each case features endoscopic views and meticulous tube placement (including Crawford and Jones tubes), emphasizing careful incision, flap creation, and bleeding control.

Variety of Cases and Complications

The patients, including adults and children, demonstrate a range of presenting problems and perioperative surprises, such as encountering dacryoliths and excessive bleeding.

Cases Overview

This comprehensive video series includes over 4 hours of operative footage, covering:

• Cas 1: 72-year-old patient with bilateral dacryostenosis, treated with bilateral endoscopic DCR, limited anterior ethmoidectomy, and bilateral lacrimal intubation.
• Cas 2: 53-year-old patient with superior and inferior right lacrimal point stenosis, treated with right endoscopic DCR, anterior ethmoidectomy, inferior lacrimal point incision, canalicular reconstruction, and lacrimal system probing and intubation.
• Cas 3: 55-year-old patient with left lacrimal canal stenosis and superior and inferior left lacrimal point stenosis, treated with left endoscopic DCR, limited anterior ethmoidectomy, superior and inferior left lacrimal point incision, and lacrimal system intubation.
• Cas 4: 65-year-old male patient with complete right lacrimal canal stenosis and partial left lacrimal canal stenosis, treated with bilateral endoscopic DCR, limited anterior ethmoidectomy, bilateral lacrimal intubation, and right dacryolith removal.
• Cas 5: 48-year-old patient with left superior and inferior lacrimal point stenosis, eczema, and left dermatitis, treated with left endoscopic DCR, limited anterior ethmoidectomy, and intubation with 4 x 16 mm StopLoss Jones tubes (conjunctivodacryocystorhinostomy, CDCR).
• Cas 6: 2-year-old patient with congenital right lacrimal canal stenosis and previous bilateral intubations, treated with right endoscopic DCR, limited anterior ethmoidectomy, and intubation.
• Cas 7: 70-year-old patient with anterior inferior lacrimal point stenosis and previous lacrimal procedures, treated with bilateral endoscopic DCR, limited anterior ethmoidectomy, bilateral inferior lacrimal point incision, canalicular reconstruction, and lacrimal system intubation.
• Cas 8: 66-year-old patient with left dacryostenosis, treated with left endoscopic DCR, ethmoidectomy, and intubation.

Available in high-definition streaming format, this comprehensive video series provides an unparalleled learning experience for ophthalmologists, otolaryngologists, and ENT specialists.