The place of transsaccal dacryocystorhinostomy in modern lacrimal surgery

Abstract

Despite the advances in transnasal and external dacryocystorhinostomy, transsaccal dacryocystorhinostomy is an excellent addition to the armamentarium in chronic fistulizing dacryocystitis with a dilated tear sac in elderly patients. A large incision with excision of the fistula opens the lacrimal sac, from where a wide dacryocystorhinostomy can be opened into the nose. The skin and tear sac incision can be closed in one layer.