Silicone intubation for obstruction of the nasolacrimal duct in adults

Arıtürk, Nurşen; Öge, İhsan; Öge, Fatma; Erkan, Dilek; Havuz, Erol

doi:10.1034/j.1600-0420.1999.770429.x

Cited by 16 publications

(6 citation statements)

References 3 publications

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“…The main surgical principle is to achieve success with minimal trauma. Aritürk et al [ 18 ] applied intubation with the Crawford system in a group of adult patients with total occlusion and reported successful results in 52.9% (9/17) of patients in the early and late stages. Furthermore, Angrist and Dortzbach [ 19 ] reported good results in 73.9% of adult patients with partial NLD occlusion and 22.2% in patients with complete duct obstruction.…”

Section: Discussionmentioning

confidence: 99%

The results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct obstruction

Kurna¹

2021

North Clin Istanbul

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OBJECTIVE: Our aim was to evaluate the long-term results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct (NLD) obstruction. METHODS: We evaluated 28 eyes of the 26 patients treated with lacrimal intubation with the Ritleng method retrospectively. Patients were divided into two groups. Patients with congenital NLD obstruction (n: 16) constituted Group 1 and patients with adult partially acquired NLD obstruction (n: 10) constituted Group 2. The Ritleng probe was inserted from the canaliculus into the inferior meatus. Success was defined within two parameters: (1) Intubation of the silicone tube without complications and (2) recovery of the previous signs and symptoms and a normal fluorescein dye test. RESULTS: Mean of the patients’ ages was 2.4±1.6 years in Group 1 and 49±15 years in Group 2. The intubation was successful in all of the patients (100%) in Group 1, meanwhile in Group 2, false passage was observed in 2 patients (20%). Silicone tube was removed through the punctum in outpatient clinic conditions between 2 weeks and 3 months (mean: 2.1 months) in Group 1 and 4–6 months (mean: 5.2 months) in Group 2. Patients in Groups 1 and 2 were followed for 26±18.6–36±25 months, respectively. Previous signs and symptoms were recovered in 75% of the patients in Group 1 and the dye tests of these patients were normal. In Group 2, only two patient’s symptoms were resolved (20%). For the adult patients whose symptoms were not resolved, an external dacryocystorhinostomy operation was performed. CONCLUSION: The Ritleng lacrimal intubation system is an effective procedure for the treatment of congenital NLD obstruction for both short and long term. On the other hand, the effectiveness of the procedure is limited for the adult partially acquired NLD obstruction.

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Section: Discussionmentioning

confidence: 99%

The results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct obstruction

Kurna¹

2021

North Clin Istanbul

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“…On the other hand, there were no signi cant differences found in the success rates between patients receiving balloon DCP combined with pushed-type MCI and those receiving balloon DCP alone if the patients were aged over 65 years old. We assumed that it was resulted from the silicone stent, which was intubated for 1 month, played an important role especially in patients younger than 65 years old with complete PANDO by maintaining the patency of the nasolacrimal duct just as the surrounding tissue began to scar [19], while balloon DCP only creates a perioperatively patent nasolacrimal duct (NLD). The stent intubation might weigh more in younger patients due to the increased in ammation and possibility of adhesion from their better healing ability and signi cant in ammatory reaction.…”

Section: Discussionmentioning

confidence: 99%

Balloon Dacryocystoplasty with Pushed Monocanalicular Intubation as a Primary Management for Primary Acquired Nasolacrimal Duct Obstruction

Lai¹,

Yang²,

Lin³

et al. 2021

Preprint

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Though dacryocystorhinostomy (DCR) has long served as the gold treatment for primary nasolacrimal duct obstruction (PANDO), balloon dacryocystoplasty (DCP) and silicone stent intubation were applied especially in partial PANDO in the attempts to avoid osteotomy and reduce invasiveness. Herein, we present the results of the combined procedures with balloon DCP and pushed monocanalicular intubation in complete PANDO, and comparison of the combination to balloon DCP alone. We retrospectively reviewed 72 eyes of 56 patients, including 37 eyes of 29 patients in the combination group and 35 eyes of 28 patients in the balloon DCP alone group. There was no significant difference in the success rate between antegrade balloon DCP with and without pushed MCI in general. Nevertheless, interestingly the former procedure was associated with significantly higher surgical success rate than the latter in younger patients.

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“…In adults, silicone intubation without balloon DCP of the NLD has success rate ranging from 22% to 83% (19)(20)(21)(22)(23)(24). Liu and Bosley performed silicone intubation with mitomycin-C for complete NLD obstruction in adults and found a 53% success rate with a mean follow-up of 18 months (6).…”

Section: Discussionmentioning

confidence: 99%

Endoscopically assisted Balloon Dacryocystoplasty and Silicone Intubation versus Silicone Intubation Alone in Adults with Incomplete Nasolacrimal Duct Obstruction

Kashkouli

Beigi

Tarassoly

et al. 2006

European Journal of Ophthalmology

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Silicone intubation for obstruction of the nasolacrimal duct in adults

Cited by 16 publications

References 3 publications

The results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct obstruction

The results of Ritleng bicanalicular silicone intubation for congenital and adult partially acquired nasolacrimal duct obstruction

Balloon Dacryocystoplasty with Pushed Monocanalicular Intubation as a Primary Management for Primary Acquired Nasolacrimal Duct Obstruction

Endoscopically assisted Balloon Dacryocystoplasty and Silicone Intubation versus Silicone Intubation Alone in Adults with Incomplete Nasolacrimal Duct Obstruction

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