Analysis of lacrimal duct morphology from cone-beam CT dacryocystography in a Japanese population
Abstract Dacryocystorhinostomy (DCR) is the first-line treatment for lacrimal duct stenosis and obstruction in western countries. Endoscopic-assisted nasolacrimal duct intubation (ENDI) is spreading steadily as a minimally invasive treatment in Northeast Asia. ENDI is prevalent in this area because Northeast Asians have relatively flat facial features, with a less elevated superior orbital rim than other ethnic groups. This allows for relatively easy manipulation of a dacryoendoscope. Evidence has accumulated that the morphology and inclination of the lacrimal duct differ among individuals and ethnic groups. In this study, we collected anthropometric data from a Japanese population of 100 samples—the parameters vital for designing a dacryoendoscope probe. The data we provided was essential in designing the overall length, bending point, and curve-line of the dacryoendoscope probe. Although the Japanese data measured in this study would not be directly applicable to other ethnic groups, we hope that the parameters provided by this study will contribute to the accumulation of valuable anthropometric data for the design of endoscopic probe morphologies and the development of therapeutic devices for lacrimal tract diseases—in terms of designing optimal morphologies, specific to ethnic groups and populations.