Document Detail

Bicanalicular silicone tubes versus otologic T-tubes in endonasal dacryocystorhinostomy.
MedLine Citation:
PMID:  18949959     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We compared the efficacy of T-tubes and bicanalicular silicone tubes in endonasal dacryocystorhinostomy (DCR). METHOD: We retrospectively reviewed 54 eyes of 49 patients who had experienced nasolacrimal duct obstruction and undergone endoscopic DCR. Group one had bicanalicular silicone tube stents implanted (24 eyes), and group two consisted of patients who had otologic T-tubes (30 eyes). The duration of stent placement, follow-up time, and the subjective and objective success of the procedures were evaluated. Cases were grouped as failure or success according to improvement in epiphora complaint. RESULTS: An endoscopic DCR procedure was successful in 19 (79.2%) cases in the silicone group and in 23 (76.7%) cases in the T-tube group. The success rate did not differ significantly between the groups (p = 0.83). The most common cause of failure was granuloma formation in the bicanalicular silicone tube group and spontaneous tube loss in the otologic T-tube group. CONCLUSIONS: The findings revealed that both the otologic T-tube and the bicanalicular silicone tube had similar success rates (76.7% and 79.2%, respectively). We believe that otologic T-tubes, which are less expensive and more easily acquired, might be offered as an alternative to bicanalicular silicone tubes in patients with nasolacrimal duct obstruction.
A N Erkan; C Yilmazer; R Altan-Yaycioglu; B Akkuzu; L Aktaş
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  B-ENT     Volume:  4     ISSN:  1781-782X     ISO Abbreviation:  B-ENT     Publication Date:  2008  
Date Detail:
Created Date:  2008-10-27     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101247842     Medline TA:  B-ENT     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  135-9     Citation Subset:  IM    
Department of Otorhinolaryngology, Medicine Faculty, Baskent University, Ankara, Turkey.
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MeSH Terms
Cohort Studies
Dacryocystorhinostomy / instrumentation*
Equipment Design
Intubation / instrumentation*
Lacrimal Duct Obstruction / surgery*
Middle Aged
Retrospective Studies
Treatment Outcome
Reg. No./Substance:

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