**8. Postoperative care**

If nasal packing is placed at the end of surgery, it is removed the following morning. Patients must irrigate their nose with saline at least twice a day. The patient must be visited one week later and intranasal debris must be removed then.

The silastic tubing is removed 1-12 months after surgery. According to our experience, we recommend removing the tube in about 4 weeks after surgery. Exposed tubing at the medial canthus is cut with scissors and the stent is withdrawn through the nose. In revision cases with scarring the stent can be left in the place for 6 months or even longer.

During surgery sufficient opening from the lacrimal sac into the nose is made, but the final size of the healed surgical ostium is 1 to 2 mm in diameter on average.
