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Lacrimal Silicone Intubation for Anatomically Successful but Functionally Failed External Dacryocystorhinostomy

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Abstract

Purpose: To investigate the efficacy of lacrimal silicone intubation for the management of epiphora in patients who have previously undergone anatomically successful dacryocystorhinostomy (DCR). Methods: The authors recruited 13 patients (4 male, 9 female) who had persistent epiphora after an anatomically successful primary external DCR and conducted lacrimal silicone intubation through the dacryocystorhinostomy site. Results: Mean patient age was 54.2 years (range 42-80) and mean follow-up was 13.8 months (range 6-30). Epiphora was resolved in all 13 patients following silicone intubation. Spontaneous tube extrusion occurred in three patients, but a new one was easily reintubated. Conclusions: Lacrimal silicone intubation is a simple safe and effective procedure for patients with epiphora even after anatomically successful DCR.

참고문헌 (5)

  1. Tarbet KJ, "External Dacryocystorhinostomy:surgical success,patient satisfaction and economic cost", 102, pp.1065~1070 (1995)
  2. Welham RA, "Results of Dacryocystorhinostomy:analysis of causes for failure", 93, pp.601~9 (1973)
  3. Delaney YM, "Fluorescein transit test time and symptomatic outcomes after external dacryocystorhinostomy", 18, pp.281~284 (2002)
  4. Amin M, "The value of intubation dacryocystography after Dacryocystorhinostomy", 73, pp.604~607 (2000)
  5. Conway ST, "Evaluation and management of 'functional' nasolacrimal blockage;results of a survey of the American Society of Ophthalmic Plastic and Reconstructive surgery", 10, pp.185~7 (1994)

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