Probing and Bicanalicular Silicone Tube Intubation Under Nasal Endoscopy in Congenital Nasolacrimal Duct Obstruction

Abstract

Nasal endoscopy during probing and bicanalicular silicone tube intubation is useful especially in selected cases of failed probings. Nasal endoscopy should assist the inexperienced surgeon in preventing trauma to the nasal base and septal mucosa, hemorrhage, and passage of the probe under the mucosa rather than through the ostium.

Balloon dacryocystoplasty and monocanalicular intubation with Monoka tubes in the treatment of congenital nasolacrimal duct obstruction

“…Children older than 1 year old in this study were all free of epiphora, but the success rate for patients less than 1 year old was 66.7%. The results are similar to those from previous studies [8,[26][27][28][29][30][31].…”

“…The success rate was 97%, which was slightly better than those reported in previous studies with balloon DCP or silicone intubation only [8][9][10][11][12][13][14][15][16][28][29][30][31]. It seems that combined use of balloon DCP and monocanalicular Monoka intubation might increase the success rate of treating congenital NLDO after failed initial probing.…”

“…Complications of bicanalicular tubing in the medical literature included punctal stretching, corneal abrasion, tube dislodgement, tube-associated infection, granuloma formation, fistula formation, and retained tube after severance of the canthal loop [8,[26][27][28][29][30][31]. Fortunately, no significant complication was encountered except early tube dislodgement in 17% of eyes in this study.…”

Lacrimal Intubation with the Ritleng System in Recurrent Congenital Nasolacrimal Duct Obstruction in Children

“…Difficult cases with stenosis proximal to the inferior meatus, prior false passage experience in a particular case, and any indication for silicone tube implantation will benefit from the use of an endoscope during the procedure. Nasal endoscopy might assist the inexperienced surgeon in preventing trauma to the nasal base and septal mucosa [16]. In order to achieve the best results in congenital nasolacrimal duct obstruction, the collaborative teamwork of an ophthalmologist and an otolaryngologist may be necessary [17,18].…”

Endoscopic dacryocystorhinostomy: long‐term experience and outcomes

“…The endoscopic technique was finally perfected over the years including an osteotomy between sac and nasal cavity (Wormald 2001;Tsirbas & Wormald 2003;Kim et al 2013). Canalicular silicone intubation at the end is widely favoured and used to prevent fibrous closure and sealing of the edges of the sac during healing (Yagci et al 1999;Caversaccio & Hausler 2006;Liang & Lane 2013). Studies have shown that the endoscopic DCR success percentages vary widely the last decades between 81% and as high as 97% in experienced hands (Tarbet & Custer 1995;Sprekelsen & Barberan 1996;Hartikainen et al 1998;Woog et al 2001;Durvasula & Gatland 2004;Tsirbas et al 2004;Ben Simon et al 2005;Leong et al 2010;Roithmann et al 2012).…”