Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

Aytoğan, Hasan; Uğurlu, Şeyda

doi:10.5505/tjtes.2016.65021

Cited by 6 publications

(11 citation statements)

References 15 publications

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“…21 Although slight recovery can be expected in some cases, as observed in one of our patients, often traumatic optic neuropathy is irreversible. 20 –24 There is currently no evidence to suggest that treatment, including surgical decompression and systemic steroids, provides better visual outcomes than observation. 25 –27…”

Section: Discussionsupporting

confidence: 58%

“…Lacrimal injuries can be diagnosed by physical examination, which should include interrogation of the canicular system. 21 Canilicular injuries should be repaired within 48 hours of diagnosis, either by direct anastomosis or repair over a stent. 20 Long-term sequelae can occur and persistent epiphora or dacrocystitis can require subsequent procedures months or even years after initial injury.…”

Section: Discussionmentioning

confidence: 99%

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Periorbital and Globe Injuries in Pediatric Orbital Fractures: A Retrospective Review of 116 Patients at a Level 1 Trauma Center

Halsey

Argüello-Angarita

Carrasquillo

et al. 2020

Craniomaxillofacial Trauma & Reconstruction

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Study Design: Retrospective chart review of pediatric and globe injuries associated with orbital fractures.ObjectiveOur study seeks to examine these injuries and their association with orbital fractures at our trauma center to gain a better understanding of how to approach pediatric patients with orbital fractures. Methods: A retrospective review of all facial fractures in pediatric patients at an urban level 1 trauma center was performed for the years 2002 to 2014. Patient demographics were collected, as well as orbital fracture location, mechanism of injury, concomitant injuries, ophthalmologic documentation, imaging, and perioperative records. Results: One hundred sixteen pediatric patients over a 12-year period sustained an orbital fracture. The orbital floor was the most commonly fractured orbital bone in our series (60%). Thirty-four (30%) of the pediatric patients with orbital fractures had documented periorbital and/or globe injuries at the time of presentation. The most common periorbital injury was entrapment related to orbital floor fractures. Significant eyelid lacerations were present in seven patients, with five of these patients had canalicular injuries and two had canthal malposition. Five pediatric patients presented with traumatic optic neuropathy. Two patients had ruptured globes requiring enucleation. Conclusions: Periorbital soft tissue and globe injuries associated with orbital fractures occurs in a substantial number of pediatric patients. There are no guidelines for treatment of these type of injuries in the pediatric population. Further research should be performed to better understand the appropriate management of periorbital injuries in conjunction with surgical management of the orbital fractures

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Periorbital and Globe Injuries in Pediatric Orbital Fractures: A Retrospective Review of 116 Patients at a Level 1 Trauma Center

Halsey

Argüello-Angarita

Carrasquillo

et al. 2020

Craniomaxillofacial Trauma & Reconstruction

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“…This is the shortest stent duration time reported in the literature for the Mini-Monoka stent. 4,5,11,17,18 In 1994, Conlon et al designed an animal model to investigate the histology of canalicular lacerations after intubation. 19 They concluded that the optimum time for removal of the silicone tube was 12 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Publications suggested that the ideal duration of the tube should be at least 3 months which is generally referred to this study. 4,12,15,18 In a retrospective study, Chatterjee et al used a silicone rod as a monocanalicular stent and reported leaving the silicone rod in place for a mean of 6.9 weeks. 20 However, their anatomical success rate remained at 71.4%, and spontaneous extrusion of monocanalicular stent occurred 21.4% of patients.…”

Section: Discussionmentioning

confidence: 99%

“…24 Since then, repair within first 48 hours has become a standard, but subsequent studies also have proven that successful surgical outcomes beyond 48 hours. 7,13,[16][17][18] In addition, several recent studies have suggested that canalicular repair can be delayed for 7 to 11 days. 7,17,25 In the present study, the mean surgical timing was 38.7 hours and was repaired at the earliest 2 hours and at the latest 9 days later.…”

Section: Discussionmentioning

confidence: 99%

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Optimal Repair and Stent Remove Time for Monocanalicular Laceration Repair with Mini-Monoka Stent: A Coss-Sectional Study

ÇORAK EROĞLU,

ŞEN,

KAZANCI

2024

Turkiye Klinikleri J Ophthalmol

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To evaluated the experience of canalicular repair using Mini-Monoka stent and assess the ideal timing of surgery and tube removal. Material and Methods: The forty-six patients who underwent canalicular laceration repair with Mini-Monoka stent were retrospectively reviewed. Demographics, type of injury, associated ocular injury, length of time between injury and surgery, the retention time of stent, functional, and anatomic success rates were analyzed. The effect of stent removal time on success rates and whether early removal of the stent has an impact on surgical success was evaluated. To assess whether the duration of time between injury and surgery affects surgical success, patients were divided into 3 groups according to the surgical repair timing which is 24 hours, between 24-48 hours, or after 48 hours. Results: The mean age was 30.6±16.7 with male predominance (80.4%). The mean duration from injury to surgery was 38.7±28.9 hours (2 hours-9 days). The stent was removed on average at 6.7±1.86 (2-9) weeks. Early removal of the stent was not associated with failure cases. Anatomical and functional successes were 84.7% and 89.1%, respectively. There was no significant difference between anatomical (p=0.78) and functional success rates (p=0.12) based on the repair timing among the above-mentioned three groups. Conclusion: With an elective scheduling surgery, instead of an urgent repair, it is possible to achieve high success rates with an experienced team under appropriate conditions. The retention time of stent at 7 weeks on average may be adequate to provide canalicular patency.

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Results of Application of Double Lacrimal Duct Annular Catheterization in the Anastomosis of Lacrimal Canaliculus

崔¹

2020

ACM

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Evaluation of the anatomical and functional outcomes in patients undergoing repair of traumatic canalicular laceration

Abstract: BACKGROUND: The present study was designed to evaluate functional and anatomical success of traumatic canalicular laceration repair.

Cited by 6 publications

References 15 publications

Periorbital and Globe Injuries in Pediatric Orbital Fractures: A Retrospective Review of 116 Patients at a Level 1 Trauma Center

Periorbital and Globe Injuries in Pediatric Orbital Fractures: A Retrospective Review of 116 Patients at a Level 1 Trauma Center

Optimal Repair and Stent Remove Time for Monocanalicular Laceration Repair with Mini-Monoka Stent: A Coss-Sectional Study

Results of Application of Double Lacrimal Duct Annular Catheterization in the Anastomosis of Lacrimal Canaliculus

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