title: Tissue necrosis following diode laser-assisted transcanalicular dacryocystorhinostomy.
abstract: Advantages of transcanalicular laser-assisted dacryocystorhinostomy (TCDCR) over conventional, external, and endonasal dacryocystorhinostomy (DCR) have been purported to include decreased operating time, reduced morbidity, enhanced cosmesis, avoidance of general anesthesia, and a shorter recovery time. However, 1 case of skin necrosis has recently been reported to have occurred following diode laser-assisted TCDCR, and the authors now report 3 additional cases that were evaluated by the Ophthalmic Plastic Surgery services at the University of North Carolina, North Carolina, and the University of California, San Francisco. Three patients developed full-thickness tissue necrosis over the medial canthus following TCDCR, and 2 of these patients experienced persistent tissue breakdown at the site following reconstructive repair.
authors.affiliation: *Department of Ophthalmology, University of California, San Francisco, San Francisco, California; †Department of Ophthalmology, Massachusetts Eye and Ear, Boston, Massachusetts; ‡California Eye Institute, Fresno, California; and §Department of Ophthalmology, University of North Carolina, Chapel Hill, North Carolina, U.S.A.
authors.forename: Scott M
authors.initials: SM
authors.lastname: McClintic
authors.forename: Michael K
authors.initials: MK
authors.lastname: Yoon
authors.forename: Maziar
authors.initials: M
authors.lastname: Bidar
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Dutton
authors.forename: M Reza
authors.initials: MR
authors.lastname: Vagefi
authors.forename: Robert C
authors.initials: RC
authors.lastname: Kersten
mesh_terms: D000369:Aged, 80 and over; D003608:Dacryocystorhinostomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D054023:Lasers, Semiconductor / Q000009:adverse effects*; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D012867:Skin / Q000473:pathology*