Postoncological lacrimal duct reconstruction: A practical classification system for reconstructive planning and short-term results of a case series

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
M V van BurinkU Schmidbauer

Abstract

Surgical resection of skin tumors in the medial canthal area may damage the lacrimal duct and can result in chronic epiphora. Postoncologic reconstruction of the lacrimal duct has not been studied extensively. The current study discusses the anatomical and functional features of the lacrimal duct. It describes short-term functional outcomes after monocanalicular reconstruction of the lacrimal duct in a case series of 10 patients. From February 2015 to October 2017, all patients with a postoncological lacrimal duct defect were analyzed to make an anatomical classification. The functional outcomes of patients after monocanalicular reconstruction were measured with the Munk scale up to 3 months after stent removal. Twelve patients had lacrimal duct defects after Mohs resection. Anatomical characteristics were used to create a clinical classification for lacrimal duct defects. This classification divides the upper (U) and lower (L) proximal lacrimal duct into two sections which can be damaged: the punctum and pars verticalis (1), the canaliculus horizontalis (2), or combined (3). The Common lacrimal duct (C) is the distal part of the lacrimal duct and can also be affected. Ten patients were analyzed after lacrimal duct reconstructi...Continue Reading

Citations

May 21, 2020·The Journal of Craniofacial Surgery·Alessandro MeduriPasquale Aragona
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Mohammed S AlghoulChad A Purnell
Jul 8, 2021·The Journal of Craniofacial Surgery·Alessandro MeduriMarco Cicciù

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