Tissue necrosis following diode laser-assisted transcanalicular dacryocystorhinostomy

Scott M. McClintic, Michael K. Yoon, Maziar Bidar, Jonathan J. Dutton, M. Reza Vagefi, Robert C. Kersten

Research output: Contribution to journalArticle

5 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)e18-e22
JournalOphthalmic plastic and reconstructive surgery
Issue number1
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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    McClintic, S. M., Yoon, M. K., Bidar, M., Dutton, J. J., Vagefi, M. R., & Kersten, R. C. (2015). Tissue necrosis following diode laser-assisted transcanalicular dacryocystorhinostomy. Ophthalmic plastic and reconstructive surgery, 31(1), e18-e22. https://doi.org/10.1097/IOP.0000000000000045