Journal article
Intubation of the ostium and nasolacrimal duct with a single self-linking silicone stent in external dacryocystorhinostomy
Ophthalmic plastic and reconstructive surgery, Vol.27(2), pp.87-89
03/2011
DOI: 10.1097/IOP.0b013e3181d09d06
PMID: 20683371
Abstract
To describe a stent placement method that eliminates stent prolapse in external dacryocystorhinostomy. A retrospective, institutional review board- approved case series of patients undergoing external dacryocystorhinostomy with an alternative stenting method. Following anastomosis of the posterior flaps, one arm of a Crawford silicone stent is passed through each canaliculus. Both arms are then passed through the nasolacrimal duct and retrieved in the inferior meatus. The 2 distal arms are redirected in the nose; one arm is looped around the proximal portions within the lacrimal sac and tied to the second arm. The stent is self-linked around the inferior turbinate. Nine patients underwent external dacryocystorhinostomy with alternative stenting. None experienced postoperative stent prolapse. At last follow-up (average, 38 months; range, 5-102 months), 8 patients reported resolution of tearing and exhibited normal dye clearance. On compression of the lacrimal sac, none of these 8 patients exhibited reflux of stagnant tears or dye through the canaliculi. This alternative method improves stent retention by using the inferior turbinate as a stopper to eliminate stent prolapse. The self-linking nature obviates the need and expense of additional biomedical devices.
Details
- Title: Subtitle
- Intubation of the ostium and nasolacrimal duct with a single self-linking silicone stent in external dacryocystorhinostomy
- Creators
- Jennifer I Hui - Division of Ophthalmic Plastic/Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA. jhui@med.miami.eduErin M ShriverDavid T Tse
- Resource Type
- Journal article
- Publication Details
- Ophthalmic plastic and reconstructive surgery, Vol.27(2), pp.87-89
- Publisher
- United States
- DOI
- 10.1097/IOP.0b013e3181d09d06
- PMID
- 20683371
- ISSN
- 0740-9303
- eISSN
- 1537-2677
- Language
- English
- Date published
- 03/2011
- Academic Unit
- Otolaryngology; Ophthalmology and Visual Sciences
- Record Identifier
- 9983980391902771
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