Surgical management of congenital nasolacrimal duct obstruction; one procedure for all versus all procedures for one

Kashkouli, Mohsen Bahmani; Karimi, Nasser; Khademi, Behzad

doi:10.1097/icu.0000000000000584

Cited by 19 publications

(19 citation statements)

References 47 publications

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“…Probing, intubation and DCR are the preferential surgical treatments for both CNLDO and ANDLO, respectively. [ 6 , 23 – 25 ] The disadvantages of these methods should not be neglected, such as false passage formation, punctum erosion, prolapsed tube, traumatic obstruction, and formation of pyogenic granuloma. [ 26 , 27 ]…”

Section: Discussionmentioning

confidence: 99%

“…In pediatric patients, the probing cure rate was significantly different ( P < 0.001) between the membranous (90.2%) and complex (33.3%) CNLDO, indicating that simple probing was only effective in membranous CNLDO. [ 6 ] In general, the older the age, the lower the success rate of the probing. It has been showed that success rate was 85% in children aged 2 to 3 years, 75% in those between 3 and 4 years, and 63% in those 4 to 5 years old.…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 ] The conventional treatments for CNLDO patients are as follows: probing, and then repeatedly probing, silicone intubation (SI) and/or balloon dilatation, then finally conduction of dacryocystorhinostomy (DCR). [ 6 ] The success rates of these treatments vary greatly. In particular, success rate of probing and SI are 33.3% to 97.0% [ 6 – 9 ] and 50.7% to 53.8%, [ 10 , 11 ] respectively.…”

Section: Introductionmentioning

confidence: 99%

“…[ 6 ] The success rates of these treatments vary greatly. In particular, success rate of probing and SI are 33.3% to 97.0% [ 6 – 9 ] and 50.7% to 53.8%, [ 10 , 11 ] respectively. For ANDLO patients, success rate of endonasal endoscopic dacryocystorhinostomy (En-DCR) is 93.4% with silicone tubing and 92.2% without silicone tubing.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

Sun

Ding²,

et al. 2020

Chinese Medical Journal

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Background Hasner valve incision has been recently introduced as a new treatment for ophthalmic patients with epiphora symptoms. The aim of this study was to examine whether surgical outcomes of Hasner valve incision for inferior nasolacrimal duct obstruction were different between pediatric and adult patients. Methods A total of 53 eyes of 52 patients who underwent Hasner valve incision in the Beijing Tongren Hospital from October 2016 to November 2019 were retrospectively observed. Patients were divided into two groups, including pediatric group (23 eyes of 22 patients, <18 years old) and adult group (30 eyes of 30 patients, ≥18 years old). Success rate of surgery was determined by both subjective measure (complete resolution of epiphora) and objective measure (lacrimal passage irrigation and tear meniscus height). Fisher exact test was conducted. Results By conducting Fisher exact test and comparing complete resolution of epiphora ( P = 0.627), lacrimal passage irrigation ( P = 0.663), measurement of Tear Meniscus Height ( P = 0.561), and appearance of complication ( P = 0.339), there was no statistically significant difference of surgical outcomes between pediatric and adult patients ( P > 0.05). Conclusion Hasner valve incision was effective for both adult and children with inferior nasolacrimal duct obstruction, with no difference in surgical outcomes between the two groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

Sun

Ding²,

et al. 2020

Chinese Medical Journal

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“…Die Frage, bei welchen tränenwegschirurgischen Eingriffen eine Tränenwegsintubation i. d. R. erforderlich ist, kann pauschal nicht beantwortet werden und wird in der Literatur auch zur heutigen Zeit noch kontrovers diskutiert [8]. Insgesamt ist man sich aber darüber einig, dass eine Intubation bei kongenitaler Tränenwegsstenose und erfolgloser Sondierung, nach Tränenwegsendoskopie und nach traumatischer Lazeration durchgeführt werden sollte [6,18,19]. Wenn sich der Chirurg zu einer Intubation entschließt, steht ihm heutzutage eine Vielzahl an unterschiedlichen Intubationssystemen zur Verfügung.…”

Section: Diskussionunclassified

Application Possibilities of a New Preloaded Nasolacrimal Duct Intubation System

Mihailovic

Grenzebach

Eter

et al. 2021

Klin Monbl Augenheilkd

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Introduction The LacriJet (FCI S. A. S. – France Chirurgie Instrumentation, Paris, France) represents a novel, simplified and preloaded system for monocanalicular or monocanaliculonasal nasolacrimal duct intubation. It is a further development of the Masterka and shall reduce the intubation time during the surgical procedure. The aim of the present study was to present first experiences with this system for different indications. Material and Methods All patients who underwent nasolacrimal duct intubation with the LacriJet at the University of Muenster Medical Center in the period from March to November 2019 were included. The postoperative outcome was evaluated 3 to 6 months later. Results In total, 12 nasolacrimal duct intubations with the LacriJet were performed at our center in the above-mentioned period. The main indication for intubation was congenital nasolacrimal duct obstruction (CNLDO). In addition, intubation was performed in cases with eye lid tumors involving the nasolacrimal duct, in a case of canalicular laceration and in a case of canaliculitis. In 3 cases, there was an early dislocation or a complete loss of intubation. Of these, 2 were cases with CNLDO and the third dislocation was due to manipulation by the patient. All in all, the functional results were satisfying. Summary The use of the LacriJet is highly suitable for the treatment of CNLDO, stenting in canalicular laceration or lid tumours involving the lacrimal drainage system. However, the known disadvantages of monocanalicular intubation (dislocation, early loss of intubation) also occur with this type of system and a system briefing seems useful. The LacriJet therefore represents a modern and simple method for nasolacrimal duct intubation and can be used for various indications.

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Morphometric and morphological evaluation of the nasolacrimal groove in 150 dry bones in the Anatolian population

Nteli Chatzioglou,

Önal,

Gayretli

2024

Surg Radiol Anat

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Pupose: In this study, we aimed to evaluate the anatomical features of the nasolacrimal groove in detail by providing a morphological classi cation based on morphometric evaluations of the nasolacrimal groove.Methods: A total of 150 sagittal dry bones in the Department of Anatomy, Faculty of Medicine, Istanbul University were evaluated. The length and the width at different points of the nasolacrimal canal were calculated. According to the widths of the nasolacrimal canal 10 different morphological types were revealed.

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Surgical management of congenital nasolacrimal duct obstruction; one procedure for all versus all procedures for one

Cited by 19 publications

References 47 publications

Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

Comparison of Hasner valvulotomy outcomes in pediatric and adult patients: does age matter?

Application Possibilities of a New Preloaded Nasolacrimal Duct Intubation System

Morphometric and morphological evaluation of the nasolacrimal groove in 150 dry bones in the Anatolian population

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