3 Sept. 1997 CONJUNCTIVORHINOSTOMY AS ALTERNATIVE TO DACRYOCYSTECTOMY & DACRYOCYSTORHINOSTOMY
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Twenty four cases of epiph.ora were elected, and the number was classified into three sets fitted to the type of stratagem. Group one held dacryocystectomy (8 cases) complained of recurrent epiphora from original 14 operated cases. Group two contemplated 8 cases of dacrocystoryinostomy. Group three projected 16 conJunctivorhinostomy (8 cases + 8 cases of dacryocystectomy). The age picked ranged between 5-36 years. All cases had passed Jones test preoperative to detect the level of obstruction and post operative to assess the patency. In dacryocystorinostomy. and corgunctivorhinostomy routinely the anterior lacrimal crest was shelved. Cases attained the grafts from the lower saphenous vein (2.5-3 cm). The conjunctiva was incised by the tip of a sharp scissor for 5 mm in its most medial and lower part One boundary of silastic was passed via the bony opening to the nose and the other one via the lower part of the coryvmctiva. The upper edges of the vein were sutured to the conjunctiva. The patient whatever the procedure was hospitalised for 5 to 7 days. Postoperative follow up of the patients started after 24 hours with the first dressing. The silastic was gently skied up and down to remove any debris. Sutures were removed in the fifth day, while silastic repealed from the 15th to the 21 th day. Coryunctivorhinostomy had better results 87,5% or 12.5% failure with least interference.