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Lacrimal Canalicular Bypass Surgery With Autologous Superficial Temporal Artery Graft Publisher



Jamshidiantehrani M1 ; Kashkouli M2 ; Ghahvehchian H3 ; Amini M1
Authors
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Authors Affiliations
  1. 1. Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Skull Base Research Center, Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, University of Medical Sciences, Tehran, Iran
  3. 3. Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, University of Medical Sciences, Tehran, Iran

Source: Journal of Current Ophthalmology Published:2022


Abstract

Purpose: To describe superficial temporal artery graft as a new autologous tissue to reconstruct the upper lacrimal drainage system. Methods: We explain the history of a 30-year-old female with upper lacrimal drainage system obstruction, in whom conjunctivodacryocystorhinostomy (CDCR) failed to resolve epiphora. A superficial temporal artery graft was harvested, intubated with Masterka tube, and implanted between the conjunctiva and nasal cavity. Masterka was replaced with a thicker dummy tube 12 weeks postoperatively. The adequacy of the graft was checked with irrigation tests in follow-up visits from 1 to 26 months after the procedure. Results: Superficial temporal artery autograft successfully eliminated epiphora of the patient in whom (CDCR) with Jones tube failed to make her symptom free. Conclusion: Superficial temporal artery autograft as an autogenous tissue with adequate characteristics can be considered in selective patients of upper lacrimal obstruction to reconstruct the lacrimal drainage system. © 2022 Iranian Society of Ophthalmology. All rights reserved.