Surgical step

Data acquired

Complaint (%)

Action (%)

Results (%)

Cutaneous incision

N/R

N/N

N

Tissue dissection

N/R

N/N

N

Nasolacrimal groove scarification

Pain. discomfort (1.8%)

Surgical field infiltration with 0.3 mL of anesthetic mixture (100%)

Success (100%)

Posterior wall of the lacrimal sac ressection

Pain. discomfort (0.9%)

Surgical field infiltration with 0.3 mL of anesthetic mixture (100%)

Success (100%)

Ostheotomy

Discomfort/awareness (3.2%)

Sedation with propofol 0.3 mg/kg (100%)

Success (85%). repeat previous action. than success (15%)

Bicanalicullar silicone intubation

Nasal pain/discomfort (5.0%)

Analgesia with sufentanyl 0.03 mg/kg (100%)

Success (10%). repeat previous action. than success (90%)

Deep tissue closure

N/R

N/N

N

Skin and muscle closure

N/R

N/N

N

Nasal fixation of the silicone

N/R

N/N

N