{"id":417,"date":"2017-07-20T15:29:42","date_gmt":"2017-07-20T18:29:42","guid":{"rendered":"https:\/\/www.oftalmologiahigienopolis.com\/?p=417"},"modified":"2023-02-26T12:52:57","modified_gmt":"2023-02-26T15:52:57","slug":"dacriocistorrinostomia","status":"publish","type":"post","link":"https:\/\/www.oftalmologiahigienopolis.com\/tratamentos\/dacriocistorrinostomia\/","title":{"rendered":"Dacriocistorrinostomia"},"content":{"rendered":"

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”T\u00edtulo” _builder_version=”4.20.0″ background_enable_color=”off” background_image=”https:\/\/www.oftalmologiahigienopolis.com\/wp-content\/uploads\/2017\/07\/pattern-5-scaled.jpg” custom_css_main_element=”height: 160px;” saved_tabs=”all” collapsed=”on” global_colors_info=”{}” global_module=”3445″ theme_builder_area=”post_content”][et_pb_fullwidth_post_title meta=”off” featured_image=”off” text_color=”light” admin_label=”T\u00edtulo” _builder_version=”4.20.0″ title_font=”||||||||” title_text_color=”#FFFFFF” title_font_size=”28px” title_letter_spacing=”2px” title_line_height=”1.3em” background_color=”#5a90bc” parallax=”on” text_orientation=”center” custom_margin=”0px||0px||true|false” custom_padding=”10px||15px||false|false” title_font_size_tablet=”26px” title_font_size_phone=”24px” title_font_size_last_edited=”on|phone” custom_css_main_element=”width: 100%; bottom: 0; position: absolute;” custom_css_post_title=”padding-bottom: 0 !important;” border_style=”solid” parallax_effect=”on” module_bg_color=”#5a90bc” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_fullwidth_post_title][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Conte\u00fado” _builder_version=”4.20.0″ custom_padding=”||0px||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row admin_label=”Introdu\u00e7\u00e3o” _builder_version=”4.20.0″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”50%” width_last_edited=”off|desktop” custom_padding=”0px||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.20.0″ text_font=”||||||||” text_font_size=”18px” text_line_height=”1.9em” header_font=”||||||||” header_2_font=”|700|||||||” header_2_text_color=”#34749A” header_2_font_size=”28px” header_2_line_height=”1.4em” custom_padding=”0px|0px|0px|0px” hover_enabled=”0″ border_style=”solid” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n

O que \u00e9 Dacriocistorrinostomia?<\/h2>\n

A Dacriocistorrinostomia (DCR) \u00e9 a cirurgia que corrige a obstru\u00e7\u00e3o baixa das vias lacrimais.\u00a0Trata-se de um procedimento cir\u00fargico da dacriocistite cr\u00f4nica e aguda ap\u00f3s seu tratamento cl\u00ednico com antibi\u00f3tico. Pode ser realizada por via externa ou nasal.<\/p>\n

[\/et_pb_text][et_pb_image src=”https:\/\/www.oftalmologiahigienopolis.com\/wp-content\/uploads\/2017\/08\/dacriocistorrinostomia.jpg” align_tablet=”center” align_phone=”center” align_last_edited=”on|desktop” _builder_version=”4.20.0″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” hover_enabled=”0″ border_style=”solid” sticky=”off” always_center_on_mobile=”on” global_colors_info=”{}” theme_builder_area=”post_content” alt=”Dacriocistorrinostomia” sticky_enabled=”0″][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”Informa\u00e7\u00f5es m\u00e9dicas” module_class=”oh-content-box” _builder_version=”4.20.0″ collapsed=”off” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_text admin_label=”T\u00edtulo” module_class=”oh-content-box-title” _builder_version=”4.20.0″ _module_preset=”default” header_3_font=”||||||||” background_enable_color=”off” custom_margin=”||||false|false” custom_padding=”||||false|false” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n

Informa\u00e7\u00f5es m\u00e9dicas sobre Dacriocistorrinostomia<\/h3>\n

[\/et_pb_text][et_pb_text module_class=”oh-content-box-text” _builder_version=”4.20.0″ _module_preset=”default” background_enable_color=”off” custom_margin=”||||false|false” custom_padding=”||||false|false” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]<\/p>\n

\"\"A dacriocistorrinostomia (DCR) externa \u00e9 a t\u00e9cnica mais difundida para o tratamento das obstru\u00e7\u00f5es da via lacrimal. \u00c9 uma abordagem que garante melhor resultado, uma vez que todas altera\u00e7\u00f5es decorrentes da dacriocistite (como dilata\u00e7\u00e3o de saco lacrimal, sinequias, reten\u00e7\u00f5es etc.) s\u00e3o diretas. Em casos de saco lacrimal atr\u00f3fico, tamb\u00e9m s\u00e3o mais indicadas porque, quando se utiliza a t\u00e9cnica de dois retalhos anteriores de mucosa, a aproxima\u00e7\u00e3o para a sutura fica facilitada.<\/p>\n

A anastomose formada por um teto de mucosas ter\u00e1 menor possibilidade de bloqueio por tecido cicatricial; como na endonasal se faz apenas a remo\u00e7\u00e3o de mucosa e osso, a chance de fechamento do \u00f3stio cir\u00fargico ser\u00e1 naturalmente maior. A DCR externa \u00e9 menos dependente de aparatos como o endosc\u00f3pio nasal, intuba\u00e7\u00f5es com silicone o que a fazem ser de menor custo ao paciente e ao hospital. A experi\u00eancia mundial com a t\u00e9cnica de DCR externa \u00e9 muito vasta e bem documentada na literatura m\u00e9dica. Os trabalhos incluem amostras grandes e seguimento prolongado, revelando excelentes resultados.<\/p>\n

O \u00fanico inconveniente da t\u00e9cnica por via externa \u00e9 a cicatriz no canto medial inferior do olho, por\u00e9m \u00e9 bem relativo. A cicatriz \u00e9 de menos de 1 cm e pode ser bem camuflada em pacientes brancos e negros e principalmente se est\u00e3o acima dos 40 anos de idade. Apenas pacientes orientais jovens com a base do nariz baixa que teriam cicatriz mais aparente.<\/p>\n

O acesso cir\u00fargico atrav\u00e9s da cavidade nasal tamb\u00e9m \u00e9 \u00fatil e tem sido usado com maior frequ\u00eancia gra\u00e7as ao desenvolvimento da endoscopia nasal. Geralmente realizada por uma parceria entre o oftalmologista e o otorrinolaringologista, tem a vantagem de n\u00e3o apresentar cicatriz na pele. Por\u00e9m muitas s\u00e3o as contra indica\u00e7\u00f5es da via nasal. Pacientes com o saco muito dilatado e ocasi\u00f5es onde houve inflama\u00e7\u00e3o a abordagem externa \u00e9 mais garantida para melhores resultados. Pacientes que apresentem altera\u00e7\u00f5es nasais associadas (como desvio de septo) ou j\u00e1 se submeteram a DCR externa sem sucesso tem vantagem em realizar a abordagem via endonasal.<\/p>\n

Determinadas condi\u00e7\u00f5es dificultam ou, at\u00e9 mesmo, impedem a remo\u00e7\u00e3o \u00f3ssea via endonasal. Isto ocorre em casos de maior espessamento \u00f3sseo, como em osteomas, fraturas e indiv\u00edduos da ra\u00e7a negra. A presen\u00e7a de c\u00e9lula etmoidal geralmente \u00e9 detectada apenas durante o ato cir\u00fargico e somente uma tomografia computadorizada poderia revelar previamente a sua ocorr\u00eancia. Portanto, toda indica\u00e7\u00e3o de DCR endonasal imp\u00f5e a explora\u00e7\u00e3o radiol\u00f3gica da \u00e1rea da osteotomia para verificar a viabilidade de sua realiza\u00e7\u00e3o. A anestesia mais segura para o procedimento \u00e9 a anestesia geral, uma vez que a via a\u00e9rea fica protegida de poss\u00edveis sangramentos e o paciente n\u00e3o tem o risco de aspira\u00e7\u00e3o. Por\u00e9m em casos especiais, a seda\u00e7\u00e3o com anestesista e infiltra\u00e7\u00e3o local pode ser realizada.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”Relacionados” module_class=”oh-content-box” _builder_version=”4.20.0″ custom_padding=”||0px||false|false” collapsed=”off” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_divider color=”#e9f0f7″ divider_weight=”5px” _builder_version=”4.16″ _module_preset=”default” custom_margin=”||30px||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_divider][et_pb_text admin_label=”T\u00edtulo” module_class=”oh-content-box-title” _builder_version=”4.20.0″ _module_preset=”default” header_3_font=”||||||||” background_enable_color=”off” custom_margin=”||||false|false” custom_padding=”||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Conte\u00fado relacionado<\/h3>\n

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Nossos m\u00e9dicos especialistas em Pl\u00e1stica Ocular<\/h3>\n

[\/et_pb_text][et_pb_blurb title=”Dr. Allan C. Pieroni Gon\u00e7alves” image=”https:\/\/www.oftalmologiahigienopolis.com\/wp-content\/uploads\/2021\/03\/perfil-allan-pieroni-goncalves.jpg” icon_placement=”left” content_max_width=”100%” admin_label=”Allan Pieroni” _builder_version=”4.16″ _module_preset=”default” header_font=”Lato|700|||||||” header_text_color=”#5A90BC” body_font_size=”14px” body_line_height=”1.6em” custom_margin=”||20px||false|false” custom_padding=”|||30px|false|false” link_option_url=”https:\/\/www.oftalmologiahigienopolis.com\/medicos\/dr-allan-pieroni-goncalves\/” custom_css_blurb_image=”width: 120px !important; height: 120px !important; padding-right: 10px !important;” border_radii_image=”on|50%|50%|50%|50%” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Oftalmologista especialista em Cirurgia reconstrutiva, reparadora e cosm\u00e9tica das P\u00e1lpebras, Vias Lacrimais e \u00d3rbita.
Conhe\u00e7a o Dr. Allan<\/a><\/p>\n

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Conhe\u00e7a nossas redes sociais<\/h3>\n

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O que \u00e9 Dacriocistorrinostomia? A Dacriocistorrinostomia (DCR) \u00e9 a cirurgia que corrige a obstru\u00e7\u00e3o baixa das vias lacrimais.\u00a0Trata-se de um procedimento cir\u00fargico da dacriocistite cr\u00f4nica e aguda ap\u00f3s seu tratamento cl\u00ednico com antibi\u00f3tico. Pode ser realizada por via externa ou nasal.Informa\u00e7\u00f5es m\u00e9dicas sobre DacriocistorrinostomiaA dacriocistorrinostomia (DCR) externa \u00e9 a t\u00e9cnica mais difundida para o tratamento […]<\/p>\n","protected":false},"author":2,"featured_media":1860,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[5],"tags":[],"yoast_head":"\nO que \u00e9 Dacriocistorrinostomia? - Oftalmologia Higien\u00f3polis<\/title>\n<meta name=\"description\" content=\"A Dacriocistorrinostomia (DCR) \u00e9 a cirurgia que corrige a obstru\u00e7\u00e3o baixa das vias lacrimais.\u00a0Acesse e saiba mais.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oftalmologiahigienopolis.com\/tratamentos\/dacriocistorrinostomia\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"O que \u00e9 Dacriocistorrinostomia? 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