本文报告对１１例鼻腔肿瘤患者行鼻侧切开术中泪道的处理，改变传统手术中常规将泪道结扎、切断的方法，而是将骨性泪道全程开放，使泪囊、鼻泪管游离后加以保护，待肿瘤切完后将泪道复位、固定，术后效果良好，无溢泪及泪道逆行感染．文中具体介绍了手术方法、适应证的选择原则及术中操作应注意的问题． This article reports 11 cases of nasal cancer patients nasal lacrimal duct surgery in the treatment of lacrimal duct to change the traditional methods of lacrimal ligation, cut off, but the full open of the lacrimal duct, the lacrimal sac, nasolacrimal duct Tube to be protected after the release of the lacrimal duct to be resected until the tumor is resected, fixed, postoperative effect is good, no tears and lacrimal duct retrograde infection. The article specifically introduced the surgical method, the choice of indications principles and intraoperative operation should pay attention to the problem.