<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-7986</journal-id>
<journal-title><![CDATA[Revista ORL]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ORL]]></abbrev-journal-title>
<issn>2444-7986</issn>
<publisher>
<publisher-name><![CDATA[Ediciones Universidad de Salamanca]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-79862021000200009</article-id>
<article-id pub-id-type="doi">10.14201/orl.25268</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dacriocistorrinostomía transcanalicular con láser diodo en el tratamiento de la obstrucción primaria adquirida del conducto nasolagrimal]]></article-title>
<article-title xml:lang="en"><![CDATA[Transcanalicular laser dacryocystorhinostomy in the treatment of primary acquired nasolacrimal infrasacal duct obstruction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Las Heras-Flórez]]></surname>
<given-names><![CDATA[Paula M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Cascón]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil-Carcedo-Sañudo]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rettig-Infante]]></surname>
<given-names><![CDATA[Isidora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero-Agustín]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero-Calvo]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Río Hortega de Valladolid Servicio de Otorrinolaringología ]]></institution>
<addr-line><![CDATA[Valladolid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Asistencial Universitario de León Servicio de Otorrinolaringología ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<fpage>93</fpage>
<lpage>99</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2444-79862021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2444-79862021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2444-79862021000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Nuestro objetivo es describir como realizamos la dacriocistorrinostomía (DCR) transcanalicular con láser diodo modificada conjuntamente los servicios de ORL y Oftalmología en el Hospital Universitario Río Hortega de Valladolid como tratamiento quirúrgico de la obstrucción primaria adquirida infrasacal del ducto nasolagrimal. Esta patología es bastante frecuente en pacientes de edad media y avanzada que origina epífora y blefaritis, así como dacriocistitis crónica o recurrente. En el tratamiento de esta entidad se sigue considerando, aunque cada vez menos, la dacriocistorrinostomía (DCR) externa como el gold standard con unas tasas de éxito que se sitúan alrededor del 85%. Sin embargo, en la actualidad, es considerada como una opción &#8220;invasiva&#8221;, que pone en riesgo estructuras como el mecanismo de bomba canalicular y puede generar una cicatriz poco cosmética. Estos riesgos potenciales se pueden evitar con técnicas menos invasivas (DCR endoscópica y la DCR transcanalicular con láser diodo modificada). La principal desventaja que puede presentar la técnica quirúrgica de dacriocistorrinostomía con láser diodo es la inversión económica por el alto coste del aparataje y su mantenimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Our aim is to describe how we perform laser transcanalicular modified dacryocystorhinostomy (DCR) the departments of ENT and Ophthalmology in HURH in Valladolid as surgical treatment of primary acquired nasolacrimal infrasacal duct obstruction (PANDO). PANDO is a common disorder in middle aged an older patient leading to chronic epiphora and blepharitis as well as recurring or chronic dacryocystitis. In the treatment of PANDO, external dacryocystorhinostomy (DCR) is still considered to be &#8220;the gold standard&#8221; with success rates above 85%. However, in recent years external DCR is considered an invasive procedure that puts at risk the medial structures of the eyelid including the physiological canalicular pump mechanism and leave pa-tient with an uncosmetic scar. These risks are potentially avoidable by performing less invasive techniques or choosing an endonasal approach (endoscopic or laser modified). One disad-vantage of laser modified surgery is the economic inversion because of the high cost of the equipment and maintenance.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dacriocistorrinostomía]]></kwd>
<kwd lng="es"><![CDATA[epífora]]></kwd>
<kwd lng="es"><![CDATA[láser]]></kwd>
<kwd lng="en"><![CDATA[Dacryocystorhinostomy]]></kwd>
<kwd lng="en"><![CDATA[epiphora]]></kwd>
<kwd lng="en"><![CDATA[laser]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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