Traumatic Canalicular Laceration Repair with a New Monocanalicular Silicone Tube

Tavakoli, Mehdi; Karimi, Sayeh; Behdad, Bahareh; Dizani, Setareh; Salour, Hossein

doi:10.1097/iop.0000000000000620

Cited by 26 publications

(21 citation statements)

References 14 publications

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“…Canalicular anastomosis, combined with bicanalicular or monocanalicular stent intubation, is used for primary canalicular laceration repairs [5]. A variety of materials have been used to stent torn canaliculus clinically [6,7], such as medical-grade silicone stents (Freda® silicone tube, mini-Monoka®, Masterka®) [8,9]. The mini-Monoka® is a monocanalicular stent composed of a silicon rod with a bulb and a collar at the proximal end, making it self-retaining [8].…”

Section: Introductionmentioning

confidence: 99%

Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation

et al. 2020

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Background To evaluate the etiology of lacrimal canalicular laceration and explore the possible risk factors influencing prognosis. Methods The data of 142 patients (142 eyes) with lacrimal canalicular lacerations who were surgically treated using canalicular anastomosis combined with bicanalicular stent intubation between March 2017 and March 2018 were reviewed. The analyzed data contained demographic information, types of trauma, injury locations, associated additional ocular injuries, and surgical outcomes at follow-up. The main outcome measures were anatomic success rate, functional success rate, and complications of surgery. Results The mean patient age was 42.07 years (ranging from 1 to 75 years). Among the 142 patients, 112 (78.87%) were males. Upper and lower canalicular lacerations were found in 14 (9.86%) and 112 (78.87%) patients, respectively. Meanwhile, both upper and lower canalicular lacerations were found in 16 (11.27%) patients. Electric bike accidents comprised the leading cause of injury, accounting for 76 (53.52%) cases. There were 100 (70.42%) patients who had lid lacerations without tarsal plate fracture and 42 (29.58%) patients who had lid lacerations with tarsal plate fractures. The anatomic success rate was 98.59% and the functional success rate was 83.8%. The functional reconstruction failure rates were higher in patients with indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting (P < 0.05). Surgical complications were detected in the form of lacrimal punctum ectropion in 3 (2.11%) patients, punctum splitting in 2 (1.41%) patients, and stent extrusion and loss in 2 (1.41%) patients. Conclusions Electric bike accidents have become the leading cause of injury instead of motor vehicle accidents because of the changes in the lifestyles of people. Indirect injuries, lid lacerations with tarsal plate fractures, and those with punctum splitting were significantly more likely to lead to poor prognosis, as confirmed by the lower functional success rate of surgery.

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Section: Introductionmentioning

confidence: 99%

Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation

et al. 2020

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“…Tavakoli et al 22 used the Masterka stent to repair canalicular lacerations. These patients were followed for 6 months, and the stents were removed at a mean of 12.2 weeks.…”

Section: Published Resultsmentioning

confidence: 99%

Monocanalicular Stents in Eyelid Lacerations

et al. 2019

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Purpose: To determine the efficacy and complication rates of monocanalicular stents in the setting of canalicular lacerations. Methods: A literature search was performed in May 2018 in the PubMed database to identify all Englishlanguage reports of monocanalicular stenting to address canalicular lacerations. Studies that did not include at least 10 patients with at least 3 months of follow-up evaluation after surgery were excluded. Ninety-nine articles were identified, and 15 of these met criteria for data abstraction and were included in this assessment. The panel methodologist (V.K.A.) evaluated the quality of evidence and assigned a level-of-evidence rating to each of these studies. Results: All 15 studies were rated as level III evidence. Anatomic and functional success rates after surgery ranged from 68% to 100% and 79% to 100%, respectively. Stents were generally well tolerated, although extrusion rates varied from 0% to 29%. Conclusions: Only level III evidence was available, and studies were not powered to detect differences between groups for rare complications or failure. Monocanalicular stents seem to be efficacious and well tolerated in the management of canalicular lacerations. Potential complications include extrusion (most commonly), tube displacement, granuloma, ectropion, slit punctum, fistula, and infection. Further comparative studies would help to identify the optimal time for device removal and to directly compare monocanalicular with bicanalicular stents.

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“…The canalicular anastomosis combined with bicanalicular or monocanalicular stent intubation is used for primary canalicular laceration repair [5]. A variety of materials have been used to stent the torn canaliculus clinically, such as the medical-grade silicone stent [6,7], like the Freda ® silicone tube, the mini-Monoka ® [8], the Masterka ® [9]. The mini-Monoka ® is one of the monocanalicular stents, comprised of a silicon rod with a bulb and collar at the proximal end, which makes it self-retaining [8].…”

Section: Introductionmentioning

confidence: 99%

The etiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation

Wang

Qin

et al. 2020

Preprint

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Background: To evaluate the etiology of lacrimal canalicular laceration and explore possible risk factors influencing prognosis. Methods: A total of 142 patients (142 eyes) with lacrimal canalicular laceration were reviewed and surgically repaired using canalicular anastomosis combined with bicanalicular stent intubation between March 2017 and March 2018. The analyzed data contained demographic information, types of trauma, injury location, associated additional ocular injuries and surgerical outcomes at follow-up. The main outcome measures were anatomic success rate, functional success rate, and the complications of surgery.Results: The mean patient age was 42.07 years(ranging from 1-75 years) and 112 (78.87%) were men. Upper and lower canalicular lacerations were found in 14 (9.86%) and 112 patients (78.87%), respectively, and both canalicular lacerations were found in 16 patients (11.27%). Electric bike accidents were the leading cause of injury with 76 patients (53.52%). There were 100 (70.42%) patients who had lid laceration without tarsal plate fracture and 42 (29.58%) patients who had lid laceration with tarsal plate fracture. Anatomic success rate was 98.59%, and functional success rate was 83.8%. Functional reconstruction failure rates were higher in patients with indirect injuries, lid laceration with tarsal plate fracture, and with punctum splitting(P<0.05). Surgical Complications were detected in the form of lacrimal punctum ectropion in 3 (2.11%) patients, punctum splitting in 2 (1.41%) patients, stent extrusion and loss in 2 (1.41%) patients. Conclusions: Electric bike accidents have become the leading cause of injury instead of the motor vehicle accidents because of changes in lifestyle. The indirect injuries, lid laceration with tarsal plate fracture and with punctum splitting, were significantly more likely to lead to a poor prognosis, as comfirmed by the lower functional success rate of surgery.

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Traumatic Canalicular Laceration Repair with a New Monocanalicular Silicone Tube

Abstract: The results demonstrated that intubation of lacerated canaliculi with Masterka tube for canalicular repair was safe, effective, and simple with minimal complications.

Cited by 26 publications

References 14 publications

Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation

Eiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation

Monocanalicular Stents in Eyelid Lacerations

The etiology and prognosis of canalicular laceration repair using canalicular anastomosis combined with bicanalicular stent intubation

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