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This video demonstrates a surgical technique for Dacryocystorhinostomy using the endonasal approach. Surgeon: Dr. Patrick Yang, Oculoplastics Surgeon, Canada
Well, almost bloodless! Here are a few tricks that can be done to have a Bloodless DCR surgery: 1) A well-relaxed patient: A mild sedative on the day of surgery helps. 2) Blood pressure: Adequate control of blood pressure 3) Blood thinners: Stop all blood thinners 5 days prior, in consultation with Internist. 4) Good local anaesthesia (Xylocaine with adrenaline), even if you are performing it under GA 5) A slight head-up position during surgery helps prevent bleeding due to passive congestion. 6) Good nasal pack with Xylocaine and adrenaline; although I only use 3 Johnson buds. 7) Operating under surgical loupe magnification. This allows the visualization of fine blood vessels. 8) A good Monopolar and Bipolar cautery: Electrical, or Radiofrequency 9) Anatomy: There are specific locations where bleeding occurs: Orbicularis/Angular vessels/bony perforators/sac mucosa/nasal mucosa. Knowing these specific locations of bleeders will help you predict it and control it. 10) Blanching the nasal mucosa with Xylo+adrenaline injection just before the flap making (as shown in the video) helps relieve pain and allows bloodless flap. 11) Top up anaesthesia: Pain has to be controlled, to avoid the anxiety-induced rise in blood pressure. Use more local anaesthesia at specific points during surgery, or prefer GA (my personal choice). Thanks for watching. Dr Milind Naik, MD
Dacryocystorhinostomy (DCR) is one possible tretment for blocked tear ducts. This surgery creates a new opening for tears to drain away from the eye. To learn more about blocked tear ducts, eye health and how to take care of your vision, visit EyeSmart, from the American Academy of Ophthalmology. 🤍 Mire en español: 🤍
10 easy steps of DCR in 5 minutes Here are the links to my other videos Sturm’s conoid: 🤍 Hypertensive retinopathy : 🤍 Refractive surgeries: 🤍 Understanding astigmatism in 3 easy steps: 🤍 Iris bombe: 🤍 Visual field changes in glaucoma: 🤍 Diplopia: 🤍 Squint terminologies: 🤍 Berlin’s edema: 🤍 Cherry red spot: 🤍 Corneal pigment lines: 🤍
Dacryocystorhinostomy is a surgery done to relieve watering eyes that occur as a result of blocked tear drainage. DCR surgery is the surgery of choice in nasolacrimal duct obstruction (NLDO). If done meticulously and with appropriate anesthesia techniques, a DCR surgery can be painless for the patient and bloodless for the surgeon. Usually this surgery is performed by oculoplasty surgeons . Oculoplastic surgeons are highly skilled specialist plastic surgeons of the eye who treat conditions such as droopy eyes, watering eyes, eyelid swellings, spasms of the eyelids and face, prominent bulging eyes, thyroid eye disease, scars, eyelid bags and dark circles around the eyes.
🤍 Dacryocystorhinostomie (DCR) externe à la Clinique O, chirurgie plastique et esthétique de l'oeil, à Montréal par Dr Patrick Boulos. Traitement de l'obstruction des voies lacrimales (dacryosténose ou sténose du canal nasolacrimal) pour corriger un larmoiement constant (épiphora) et pour diminuer le risque de dacryocystite. Chirurgie effectuée sous anesthésie locale. Vidéo de la chirurgie du canal lacrimal montré et étapes chirurgicales commentées.
Watch as Dr. William Lipham, one of our Oculoplastic Specialists, talks about the tear drainage system and the DCR surgery that can be performed when the drainage system becomes blocked.
La dacryocystorhinostomie ou DCR est l'opération du canal lacrymal bouché. Le traitement consiste à aboucher le sac lacrymal aux fosses nasales quand le canal lacrymal est bouché. Elle peut être réalisée par voie endoscopique ou par voie externe.
Lacrimal, bicanalicular, silicone, stent, intubation, DCR, Dacryocystorhinostomy, canalicular , sleeve, Bicanalicular silicone stent intubation is commonly performed during DCR although its benefit in the absence of canalicular obstruction remains unproven. This video demonstrates the technique of sleeve placement, adjustment and the ease of stent removal. Intubation related problems include: corneal irritation from a loose tube, canalicular damage and slitting from a tight tube and difficulties with tube removal, requiring nasal endoscopy. The use of a short silicone sleeve to stabilize the tube ends intra-nasally, in place of a knot or suture, prevents all three of the above problems by allowing precise adjustment and easy stent removal via the medial canthus.
Playlist 🤍 #DacryoCystoRhinostomy #surgery
Dacryocystorhinostomy (DCR) surgery is a procedure that aims to eliminate fluid and mucus retention within the lacrimal sac, and to increase tear drainage for relief of epiphora (water running down the face). A DCR procedure involves removal of bone adjacent to the nasolacrimal sac and incorporating the lacrimal sac with the lateral nasal mucosa in order to bypass the nasolacrimal duct obstruction. This allows tears to drain directly into the nasal cavity from the canaliculi via a new low-resistance pathway. External dacryocystorhinostomy (DCR) is the gold standard surgical technique for the treatment of nasolacrimal duct obstruction. Since its introduction by Gibbs in 1967, intubation with silicone tubes has been widely used in lacrimal duct surgery Following surgery, the patient is discharged home if stable and instructed to rest for one week, without heavy lifting, exercise, or strenuous activity that may induce bleeding. Hot drinks and food should be avoided for the first 12-24 hours postoperatively in order to decrease the risk of epistaxis caused by heat-induced nasal vasodilation. Ice/cold compresses are placed on the incision site for 48 hours while awake to minimize swelling and bruising. The patient’s head should remain elevated at all times at a 45 degree angle and the patient instructed to avoid nose blowing for one week to decrease the risk of hemorrhage. Skin sutures are removed one week postoperatively if nonabsorbable sutures were used, and the silicone tube is removed typically at 4-8 weeks after surgery.
dacryocystorhinostomie "DCR" par voie endoscopique de A à Z
Left untreated, blocked tear ducts can cause chronic tearing, discharge, and infection. Tear duct surgery (also called DCR) creates a new pathway for tears to drain from your eye for better eye health. Learn more from Klapper Eyelid & Facial Plastic Surgery: 🤍 Trust your surgery to an eyelid specialist. Schedule a free consultation now.: 🤍
Transnasal Endoscopic DCR # Endoscopic DCR surgery #Endoscopic DCR steps Share this video with a friend: 🤍 Watch next- Dacryocystitis - 🤍 Pterygopalatine fossa Anatomy #Neuroanatomy of pterygopalatine fossa :🤍 Newborn Hearing Screening Tests : 🤍 Nasal Polyposis - 🤍 Larynx Anatomy : 🤍 Diagnostic Nasal Endoscopy (DNE)- 🤍 lateral wall of nose: anatomy - 🤍 For more videos in medical research: 🤍
DCR or DacryoCystoRhinostomy is used to treat blockages in tear ducts. Dr. Rani Menon's Eye Clinic has a specialized Oculoplasty section to treat surgeries related to the eye. . . #dcr #dacryocystorhinostomy #oculoplasticsurgery #oculoplasty #eyecare #eyetreatment #beauty #correction #treatment #eye #doctor #ranimenonseyecare #ranimenoneyecare #dr_rani_menons_eye_clinic
Get the Raynox DCR-250 here: 🤍 👇📸 MICAEL'S CAMERA BAG 📸👇 🔎 My favorite macro lens: 🤍 (I always buy Laowa lenses from their website - best price, good service, and fast, free shipping worldwide) 🔭 My favorite wildlife lens: 🤍 💥 Flash: 🤍 🔋 Flash batteries: 🤍 📷 Sony A7 IV Camera: 🤍 🎗 This is my camera strap: 🤍 ⚪️ I use this diffuser: 🤍 🖼 My favorite place to print my photos: 🤍 How I make my videos 📹 I use this small gimbal video camera outdoors to film: 🤍 🎹 I get my music from Epidemic Sound: 🤍 More regular content from me in these places 💌 newsletter: 🤍 🌄 instagram: 🤍 🐦 twitter: 🤍 🎖 patreon: 🤍 🖼 nfts: 🤍 / 🤍 💬 discord: 🤍 Many of the links above are affiliate links, which means that I earn a small commission if you buy something via the links – at no extra cost to you. I greatly appreciate when people use these links, as it is an important income stream to keep this channel alive. ❤️ Another important group of people that keeps this channel alive is my Patreon supporters. For $5 per month you can support my work on 🤍 and in return you get bonus content such as a monthly exclusive bonus video that only my Patreon supporters get access to. Thank you for watching my videos. 🥰
সাধারণত একটি ভূমি নামজারি প্রক্রিয়া ২৮ দিনে নিস্পত্তি হয়ে থাকে। সহকারী কমিশনার ভূমি এই আবেদনের চূড়ান্ত অনুমোদনের আদেশ করা পর অফিস সহকারী অনলাইনে খতিয়ান প্রস্তুত করবেন। খতিয়ান প্রস্তুত হলে ডিসিআর (DCR) ফী প্রদানের জন্য সিস্টেমে প্রদত্ত মোবাইলে SMS পাঠানো হবে। এ পর্যায়ে land.gov.bd তে গিয়ে ই-নামজারি পেজে আবেদন ট্র্যাকিং অপশনে বিভাগ সিলেক্ট করে আবেদন নম্বর জাতীয় পরিচয় পত্র নম্বর দিয়ে ট্রাকিং করে আবেদন মঞ্জুর হয়েছে কিনা যাচাই করতে পারবেন এবং পেজে দেয়া মোবাইল ওয়ালেট কিংবা ইন্টারনেট ব্যাংকিং থেকে সুবিধাজনক একটি অপশনে ক্লিক করে অগ্রসর বাটন চেপে নির্দেশনা অনুসরণ করে আপনি নগদ, রকেট, বিকাশ, উপায়,ভিসা কার্ড, মাস্টার্ড কার্ড সহ অন্যান্য ইনস্ট্রুমেন্টস ব্যবহার করে অনলাইনে ডিসিআর (DCR) ফী ১,১০০ টাকা পরিশোধ করার সুযোগ পাবেন। অনলাইনে ডিসিআর (DCR) ফী ১,১০০ টাকা পরিশোধ করলে অনলাইনেই চালান প্রক্রিয়া শুরু হবে। স্বয়ংক্রিয়ভাবে চালান পরিশোধিত হলে 🤍 এই লিঙ্ক এ গিয়ে আবেদন ট্র্যাকিং করে খতিয়ান প্রিন্ট এবং ডিসিআর প্রিন্ট কপিটি পাবেন। ভূমি মন্ত্রণালয়ের ০২ নভেম্বর ২০২১ খ্রিস্টাব্দের স্মারক নং ৩১.০০.০০০০.০৪২.৮.০১১.২০-৫৫৯ নির্দেশনা মোতাবেক কিউআর কোডযুক্ত (Quick Response Code) অনলাইন ডিসিআর (Duplicate Carbon Receipt) ম্যানুয়াল পদ্ধতিতে প্রদত্ত ডিসিআর-এর সমতুল্য এবং আইনগতভাবে বৈধ ও সর্বক্ষেত্রে গ্রহণযোগ্য ও ব্যবহারোপযোগ্য হবে। তাই আপনাকে ভূমি অফিসে গিয়ে কোন ম্যানুয়াল ডিসিআর সংগ্রহ করতে হবে না। নামজারি খতিয়ান আবেদন বিষয়ক তথ্যের জন্য কলসেন্টারের 16122 নম্বরে অথবা ভূমিসেবা সংক্রান্ত সমস্যা জানানোর জন্য 🤍 লিংক ব্যবহার করুন।
The endoscopic DCR is a safe and effective surgical procedure for children with the congenital nasolacrimal duct obstruction resistant to probing, irrigations and intubations. What is endoscopic DCR surgery? Dacryocystorhinostomy (DCR) is a procedure performed for the treatment of tearing (epiphora) due to blockage of the nasolacrimal drainage system. Endoscopic dacryocystorhinostomy (E-DCR) using telescopes has gained a lot of momentum among otolaryngologists, since the outcomes are comparable to the external approach. How successful is DCR surgery? The success rate in patients without previous lacrimal duct surgery was 88.5% compared to 74.3% for patients with previous lacrimal duct surgery. ... 3. Results. Success rates Patients without previous episodes of dacryocystitis 83.4 DCR as primary procedure 88.5 DCR after any form of initial lacrimal surgery #IOL Exchange #Keratoconus #Blepharitis #Patient Education #Digital Device Use #Astigmatism #Corneal Disease #Meibomian Gland Dys #function#Ectasia #Transplant #Accommodating IOL #CXL#Dense Cataracts #Prosthesis #Crosslinking #Traumatic Cataract #Epithelium #Patient Relations #Telehealth #TraumaIris Hooks #Contact Lenses #Dry Eye Disease #OCT #Capsulotomy #Ocular Surface Disease #FLACSToric IOLSmall Pupil #Multifocal IOL #Uveal Melanoma #Pterygium #PDEK #Soft Cataracts #Sclera #MIGS #Dry EyeEndophthalmitis #Presbyopiai #Stent #Subluxated IOL #Surface Procedure #Topography #Parasites #Iridodialysis #Practice Management #Collaborative Care #Trifocal IOL #Presbyopia #Artificial Tears #Emmetropia #Electronic Medical Record #Aniridia #Meibomian Gland Dysfunction #MGD #Eye surgery #Surgery #health #fitness #healthylifestyle #wellness #motivation #healthy #workout #love #gym #lifestyle #fit #fitnessmotivation #instagood #exercise #bodybuilding #weightloss #healthyfood #fitfam #beauty #healthyliving #covid #selfcare #bhfyp #mentalhealth #inspiration #food #bhfyp #healthcare #selflove #goals #happy #gymlife #happiness #yoga #instagram #muscle #personaltrainer #sport #healing #like #vegan #follow #strong #skincare #medicine #natural #fitspo #organic #mindset #healthyeating #meditation #nature #cardio #strength #mindfulness #positivevibes #crossfit #fitness #wellness #happy #support #success #gym #lifestyle #workout #goodhealth #gethealthy #healthylife #healthtalk #eatclean #eatlocal #research #life #love #today #goals #fitfood #glutenfree #healthyeating #healthyrecipes #nutrition #work #paleo #vegan #fitquote #fitfam #fitnessgoals #fitnessmotivation #dance #fitspo #getfit #goalsetting #youcandoit #fitnessgoals #trainhard #training #noexcuses #marathon #marathontraining #mondaymiles #runners #runningtips #trailrun #cardio #cycling #elliptical #fitlife #fitnessaddict #getoutside #getstrong #girlswholift #gymlife #nopainnogain #personaltrainer #sweat #treadmill #weights #weighttraining
assalamualaikum sahabat semua.. alhamdulillah.. seperti yg dijanjikan.. kali ni share pengalaman dalam setting motor berdasarkan spesifikasi komponen yg digunakan iaitu cam,block dan head.. brape CR yg sesuai untuk spec2 tersebut.. insyaallah.. semoga diberi kefahaman.. teknik ni adalah private skill.. sy alter dari teknik org2 lama.... terima kasih.. #DCR #dialcam link untuk spec CBR1000rr 30% valve size over square setup. 🤍 contoh lain modi big valve.. ysuku spec 57mm 25hp.. valve intake 23mm(30%) 🤍 ysuku block 65mm head 25/22.. oversizevalve(30%).. 39HP ..torque 20ft-lbs.. result same dgn 68mm jet 4 head yg sama. 🤍 contoh full size setup(25% valve) ysuku spec68mm jet 4.. head 25/22 torque je naik skit tapi hP lbh kurang spec 65mm head yg sama... result max torque ~20-21ft-lbs..dan Hp ~40... 🤍 untuk setting padu.. mid range.. paling sy minat.. torque tinggi hp moderate.. contoh lc135 block 65mm head 22/25 (over size30%)..low end setup.. cam low duration dan CR rendah.....torque 29Nm/~21ft-lbs... hp 35.. ni mmg best.. half throttle pn dah padu.. sbb spec 65mm bagi sy masih relevan setting low end torque.. 29Nm tuuuuuuu!!!. lebih dari target saya 25Nm/18ft-lbs.. 🤍
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涙嚢鼻腔吻合術(DCR)は皮膚を切開する”鼻外法”、皮膚を切開せずに鼻内から行う”鼻内法”があります。今回の講演では鼻外法と鼻内法の利点と欠点について解説します。 オキュロフェイシャルクリニック東京 東京都中央区銀座1丁目ビル8F 03-5579-9995 🤍 MAPはこちら🤍 オキュロフェイシャルクリニック大阪 大阪府大阪市北区梅田1丁目12−6 E~ma 3F 0120-219-609 🤍 MAPはこちら🤍 まぶたとなみだのクリニック千葉 043‐307-7781 〒260-0015 千葉県千葉市中央区富士見1丁目1−13 JS Bldg 6階 MAPはこちら🤍 新前橋かしま眼科形成外科クリニック 前橋市古市町180-1 027-288-0224 🤍 MAPはこちら🤍 2019年11月10日のバセドウ病眼症講演会の内容はこちら 🤍 東京MXで紹介されました 🤍 OurAgeにバセドウ病眼症の治療を特集していただきました 🤍
Revision of a External DCR failed case by endoscopic approach
The evolution of current Superbox to the DCR system for a full internal cable routing. One Stem 4 Ways: the stem can be used in 4 different ways to fit any cable routing solution in the market: DCR, S-DCR, Direct and External.
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Dossier complet sur Decred. Analyse de la situation graphique après l'explosion
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Decred DCR crypto review 2023. Decred token is cheap. It's $17.41 right now, but everyone knows it's way better than that. It's on its way to breaking $150 and can carry on till $300 with ease with their momentum. Watch now for my DCR Decred crypto review 2023. Want to see which coins I’ve put my money in? See the FULL LIST at 🤍 Bitget trading discounts: 🤍 I am not a financial advisor and the information provided is simply my opinions. Remember to speak to a financial advisor before making any significant investments. TLDR - DCR Decred crypto review 2023.
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