S-Space College of Medicine/School of Medicine (의과대학/대학원) Ophthalmology (안과학전공) Journal Papers (저널논문_안과학전공)
Selective non-intubation of a silicone tube in external dacryocystorhinostomy
- Choung, Ho Kyung; Khwarg, Sang In
- Issue Date
- Blackwell Publishing
- Acta Ophthalmol Scand. 2007 May;85(3):329-32.
- Adolescent; Adult; Aged; Child; Child, Preschool; Dacryocystorhinostomy/*methods; Female; Humans; Intubation/*methods; Lacrimal Duct Obstruction/*surgery; Male; Middle Aged; Nasolacrimal Duct/*surgery; Prospective Studies; *Silicone Elastomers; Treatment Outcome
- PURPOSE: To evaluate whether silicone tube insertion is always necessary in external dacryocystorhinostomy (DCR). METHODS: During external DCR for primary nasolacrimal duct obstruction carried out between January 2001 and October 2004, silicone intubation was not performed selectively if the lacrimal sac was large and the nasal cavity was not severely narrowed. RESULTS: Of a total of 166 DCR cases in 153 patients, no silicone tube was placed in 74 eyes of 69 patients (44.6%). Anatomic patency of rhinostomy was achieved in all non-intubation group eyes. However, four (6.7%) of these 69 eyes showed persistent epiphora even with anatomic patency. CONCLUSIONS: Silicone tubing can be avoided in about 50% of cases of external DCR without detrimentally affecting the success rate. Cases in which intubation was avoided had a large lacrimal sac and a wide nasal cavity.
- 1395-3907 (Print)
- Files in This Item: There are no files associated with this item.