The Use of a Venous Catheter as a Stent for Treatment of Acquired Punctal and Canalicular Stenosis

Meduri, Alessandro; Tumminello, Giuseppe; Frisina, Rino; Forlini, Matteo; Kaufman, Stephen L.; Aragona, Pasquale

doi:10.1097/scs.0000000000005743

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…1,2 Different surgical procedure have been proposed to solve this problem and punctoplasty represent one of the most used in the world. [3][4][5][6][7][8][9][10][11][12][13][14] In a study published by Meduri et al in 2020 it was proposed a use of venous catheter to reconstruct the lower punctal duct 12 and the results demonstrated that this technique supports the recanalization of the lacrimal drainage system 15 days after surgery. To evaluate how this technique impact on symptoms, in this study we propose the results of the lacrimal symptom questionnaire (Lac-Q) on these patients.…”

mentioning

confidence: 99%

Use of Lacrimal Symptoms Questionnaire After Punctoplasty Surgery: Retrospective Data of Technical Strategy

Meduri¹,

Tumminello²,

Oliverio³

et al. 2021

Journal of Craniofacial Surgery

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The goal of this study is to evaluate postpunctoplasty symptoms with lacrimal symptoms questionnaire (Lac-Q). A retrospective study was conducted on 31 patients (14 men and 17 woman) with a diagnosis of canalicular stenosis: 26 patients with unilateral occlusion and 5 patients with bilateral occlusion. The Lac-Q was administered preoperative and at 1, at 3, and at 6 months following the surgery. Moreover, the Lac-Q questionnaire was administered by an independent observer (SI). The mono-lateral and bilateral postoperative Lac-Q score showed a significant improvement of symptoms at 1, 3, and 6 months than the preoperative results. The Lac-Q questionnaire is a way to evaluate the quality of outcomes after punctoplasty surgery. In this study, all patients showed a significant improvement of symptoms after surgery.

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mentioning

confidence: 99%

Use of Lacrimal Symptoms Questionnaire After Punctoplasty Surgery: Retrospective Data of Technical Strategy

Meduri¹,

Tumminello²,

Oliverio³

et al. 2021

Journal of Craniofacial Surgery

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“…Although dacryocystorhinostomy using a nasal endoscope for patients with chronic dacryocystitis was first reported in 1989 and the first clinical study of endoscopic dacryocystorhinostomy was published in 1994, the success rates of early nasal endoscopic operations were not high. Improvements in endoscopic equipment and techniques [ 3 ] and further knowledge of lacrimal duct anatomy have increased the usefulness of nasal endoscope technology in ophthalmology [ 4 ], with endoscopic dacryocystorhinostomy becoming routine in lacrimal duct operations [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Modified Seamless Endoscopic Dacryocystorhinostomy in Patients with Chronic Dacryocystitis

Wang

Liu

Cao

et al. 2022

Journal of Ophthalmology

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Objective. To evaluate the efficacy and safety of a modified seamless endoscopic dacryocystorhinostomy (EN-DCR) with chronic dacryocystitis. Methods. This study included 54 patients (54 eyes) with chronic dacryocystitis treated in our hospital from 2019 to 2021, including 32 patients (32 eyes) who underwent modified and 22 patients (22 eyes) who underwent routine EN-DCR. In the modified EN-DCR, the nasal cavity was filled 30 min before the operation by injection of 1 mg/ml adrenaline hydrochloride and application of ephedrine hydrochloride and nitrofurazone nasal drops. Before the operation, the lacrimal passages were rinsed with a 1 : 2 mixture of dilute methylene blue and normal saline. The “I”-shaped incision was replaced by a “C“-shaped incision near the lateral bone window. In place of suturing, a gelatin sponge was applied at the confluence of the lacrimal sac and nasal mucosa. After the end of the operation, the lacrimal sac was filled with tapered expansion sponge for 1 week. In routine EN-DCR, the nasal cavity was filled with 1 mg/ml epinephrine hydrochloride, and nitrofurazone nasal drops were provided for 5 minutes after the beginning of the operation; and a “I”-shaped incision was made in the nasal mucosa, with one stitch for each anterior and posterior flap. Operation time, intraoperative bleeding, and postoperative lacrimal duct irrigation were compared, with the curative effect evaluated after a follow-up of 6 months. Results. Operation time was significantly shorter (41.3 ± 12.1 min vs. 65.4 ± 11.6 min; χ2 = 7.312, P < 0.05 ) and intraoperative bleeding was significantly lower (12.5 ± 5.2 ml vs. 60.3 ± 8.9 ml; χ2 = 24.883, P < 0.05 ) in the modified group than in the routine EN-DCR group. After follow-up for 6 months, the effective cure rate was significantly higher in the modified group than in the routine group (96.9% vs. 68.2%; χ2 = 6.383, P < 0.05 ). Conclusion. Compared with routine EN-DCR, modified seamless EN-DCR can achieve better surgical outcomes, shorten operation time, and reduce intraoperative bleeding.

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“…Various surgical techniques for lacrimal system surgery have been described in previous study. During these procedures, silicone tubes are widely used to maintain the patency of the newly created fistula and to prevent scarring and stenosis of the ostium [ 1 – 3 ]. Bicanalicular nasal intubation with the silicone tube is one of the widely performed treatments.…”

Section: Introductionmentioning

confidence: 99%

Repositioning of the Severe Prolapsed Silicone Tubes after Bicanalicular Nasal Intubation: A Novel Technique

Gong

Zheng

et al. 2021

Journal of Ophthalmology

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Background. Bicanalicular nasal intubation is widely used in lacrimal drainage system surgery. Its common complication is lateral displacement or spontaneous prolapse. When the distal part of the silicone tubes cannot be seen in the nose endoscopically, either repositioning or removal could be a challenge. We developed a simple technique to reposition the severe prolapsed silicone tubes. Method. This retrospective study included 6 patients with severe prolapsed silicone tubes who had undergone bicanalicular nasal intubation between January 2017 and December 2019. We used a memory wire probe to pull a nylon suture through the lacrimal passage retrograde. Then, the nylon suture was cut into two lines. One line was coiled to the prolapsed tube and tied to another line. This nylon turned into a “lasso” to capture the silicone tube and then lock its knot. By pulling the nylon suture, the severe prolapsed silicone tube was repositioned to the nasal cavity. Results. Using this technique, we successfully repositioned severe prolapsed silicone tubes without any complication in 6 cases. Conclusions. Silicone tube reposition guiding by using a memory wire probe is an optional technique in the treatment of prolapse of silicone tubes, particularly if the distal part of the silicon tube was embedded in the lacrimal sac and cannot be seen in the nose by endoscopy. It is a feasible, minimally invasive, safe, and effective method, avoiding premature tube removal.

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The Use of a Venous Catheter as a Stent for Treatment of Acquired Punctal and Canalicular Stenosis

Cited by 9 publications

References 8 publications

Use of Lacrimal Symptoms Questionnaire After Punctoplasty Surgery: Retrospective Data of Technical Strategy

Use of Lacrimal Symptoms Questionnaire After Punctoplasty Surgery: Retrospective Data of Technical Strategy

Efficacy and Safety of Modified Seamless Endoscopic Dacryocystorhinostomy in Patients with Chronic Dacryocystitis

Repositioning of the Severe Prolapsed Silicone Tubes after Bicanalicular Nasal Intubation: A Novel Technique

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