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Selective non-intubation of a silicone tube in external dacryocystorhinostomy.
Acta Ophthalmol Scand. 2007 May; 85(3):329-32.AO

Abstract

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.

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Authors+Show Affiliations

Choung HK
Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea.
Khwarg SI
No affiliation info available

MeSH

AdolescentAdultAgedChildChild, PreschoolDacryocystorhinostomyFemaleHumansIntubationMaleMiddle AgedNasolacrimal DuctProspective StudiesSilicone ElastomersTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17488464

Citation

Choung, Ho Kyung, and Sang In Khwarg. "Selective Non-intubation of a Silicone Tube in External Dacryocystorhinostomy." Acta Ophthalmologica Scandinavica, vol. 85, no. 3, 2007, pp. 329-32.
Choung HK, Khwarg SI. Selective non-intubation of a silicone tube in external dacryocystorhinostomy. Acta Ophthalmol Scand. 2007;85(3):329-32.
Choung, H. K., & Khwarg, S. I. (2007). Selective non-intubation of a silicone tube in external dacryocystorhinostomy. Acta Ophthalmologica Scandinavica, 85(3), 329-32.
Choung HK, Khwarg SI. Selective Non-intubation of a Silicone Tube in External Dacryocystorhinostomy. Acta Ophthalmol Scand. 2007;85(3):329-32. PubMed PMID: 17488464.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Selective non-intubation of a silicone tube in external dacryocystorhinostomy. AU - Choung,Ho Kyung, AU - Khwarg,Sang In, PY - 2007/5/10/pubmed PY - 2007/6/27/medline PY - 2007/5/10/entrez SP - 329 EP - 32 JF - Acta ophthalmologica Scandinavica JO - Acta Ophthalmol Scand VL - 85 IS - 3 N2 - 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. SN - 1395-3907 UR - https://www.unboundmedicine.com/medline/citation/17488464/Selective_non_intubation_of_a_silicone_tube_in_external_dacryocystorhinostomy_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1395-3907&date=2007&volume=85&issue=3&spage=329 DB - PRIME DP - Unbound Medicine ER -