{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:29:23Z","timestamp":1761006563590,"version":"build-2065373602"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":13567,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1979,3]]},"abstract":"<jats:p>Dacryocystorhinostomy is used in the effective treatment of epiphora secondary to obstruction of the lacrimal drainage system. Common causes of obstruction include canalicular disruption, lacrimal sac fibrosis, and external and internal nasal trauma.<\/jats:p><jats:p>Most techniques of dacryocystorhinostomy attempt to suture the lacrimal sac mucosa to the nasal mucosa. At best this is technically difficult, and the mucosa frequently tears. A technique is presented using an anteriorly based lacrimal sac pedicle flap sutured to the periosteum of the anterior lacrimal crest. The sutured flap is quite strong, and the procedure is technically simpler than others.<\/jats:p><jats:p>A brief description of the causes of lacrimal obstruction is given. The Jones primary and secondary dye tests for lacrimal system patency are reviewed.<\/jats:p>","DOI":"10.1177\/019459987908700204","type":"journal-article","created":{"date-parts":[[2016,4,8]],"date-time":"2016-04-08T21:45:24Z","timestamp":1460151924000},"page":"174-182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Dacryocystorhinostomy Utilizing an Anterior Lacrimal Sac Flap to Periosteum Technique"],"prefix":"10.1002","volume":"87","author":[{"given":"G. Richard","family":"Holt","sequence":"first","affiliation":[{"name":"Division of otorhinolaryngology University of Texas Health Science Center San Antonio Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Edwards","family":"Holt","sequence":"additional","affiliation":[{"name":"Division Opthalmology University of Texas Health Science Center San Antonio Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edwin A.","family":"Cortez","sequence":"additional","affiliation":[{"name":"Division of otorhinolaryngology University of Texas Health Science Center San Antonio Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_1_2_1","DOI":"10.1016\/0002-9394(71)90001-8"},{"key":"e_1_2_1_3_1","first-page":"155","article-title":"Is dacryocystorhinostomy an ophthalmologic or a rhinologic procedure?","volume":"51","author":"Shapiro SL","year":"1972","journal-title":"Eye Ear Nose Throat Mon"},{"key":"e_1_2_1_4_1","first-page":"293","volume":"86","author":"Dupuy\u2010Dutemps Bourguet","year":"1921","journal-title":"Bull Acad Nat Med (Paris)"},{"doi-asserted-by":"publisher","key":"e_1_2_1_5_1","DOI":"10.1136\/bjo.45.11.724"},{"key":"e_1_2_1_6_1","first-page":"18","volume-title":"Ophthalmic Plastic Surgery","author":"Fox S","year":"1976"},{"key":"e_1_2_1_7_1","first-page":"1","volume-title":"Lacrimal Disorders: Diagnosis and Treatment","author":"Veirs ER","year":"1976"},{"doi-asserted-by":"publisher","key":"e_1_2_1_8_1","DOI":"10.1288\/00005537-196803000-00012"},{"key":"e_1_2_1_9_1","first-page":"251","article-title":"Dacryocystorhinostomy\u2014Our experience with 100 cases","volume":"52","author":"Hosni FA","year":"1973","journal-title":"Eye Ear Nose Throat Mon"},{"key":"e_1_2_1_10_1","first-page":"1333","article-title":"Dacryocystorhinostomy: The Kasper operation","volume":"6","author":"Taiara C","year":"1974","journal-title":"Ann Ophthalmol"},{"doi-asserted-by":"publisher","key":"e_1_2_1_11_1","DOI":"10.1017\/S0022215100075939"},{"key":"e_1_2_1_12_1","first-page":"116","article-title":"Management of the obstruction of the lacrimal passages","volume":"51","author":"Charamis J","year":"1972","journal-title":"Eye Ear Nose Throat Mon"},{"key":"e_1_2_1_13_1","first-page":"50","article-title":"Dacryocystorhinostomy with nasolacrimal duct prosthesis","volume":"6","author":"Thornton SP","year":"1975","journal-title":"Ophthalmic Surg"},{"key":"e_1_2_1_14_1","first-page":"OP\u2010575","article-title":"Intubation macrodacyocystography and quantitative scintillography: The \u201ccomplete\u201d lacrimal assessment","volume":"81","author":"Hurwitz JJ","year":"1976","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"doi-asserted-by":"publisher","key":"e_1_2_1_15_1","DOI":"10.1016\/0002-9394(72)91141-5"},{"key":"e_1_2_1_16_1","first-page":"OP\u2010824","article-title":"Failed dacryocystorhinostomy","volume":"78","author":"Welham RAN","year":"1974","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_17_1","first-page":"81","article-title":"Complicated lacrimal problems and intranasal approaches","volume":"56","author":"Wobig J","year":"1975","journal-title":"Trans Pac Coast Otoophthalmol Soc"},{"key":"e_1_2_1_18_1","first-page":"ORL\u2010527","article-title":"Reduction of nasal orbital fractures and simultaneous dacryocystorhinostomy","volume":"82","author":"Smith B","year":"1976","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459987908700204","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459987908700204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:33:10Z","timestamp":1760952790000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459987908700204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1979,3]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1979,3]]}},"alternative-id":["10.1177\/019459987908700204"],"URL":"https:\/\/doi.org\/10.1177\/019459987908700204","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1979,3]]},"assertion":[{"value":"2016-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}