| CASE REPORT |
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| Year : 2022 | Volume
: 34
| Issue : 4 | Page : 486-488 |
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Lacrimal canalicular bypass surgery with autologous superficial temporal artery graft
Mansooreh Jamshidian-Tehrani1, Mohsen Bahmani Kashkouli2, Hossein Ghahvehchian3, Mohammad Amini1
1 Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
2 Skull Base Research Center, Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
3 Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
Correspondence Address:
Hossein Ghahvehchian
Rassoul Akram Hospital, Sattarkhan Niayesh St., Tehran 1455364
Iran
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/joco.joco_98_22
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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.
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