| Intubation of the ostium and nasolacrimal duct with a single self-linking silicone stent in external dacryocystorhinostomy. | |
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MedLine Citation:
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PMID: 20683371 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe a stent placement method that eliminates stent prolapse in external dacryocystorhinostomy. METHODS: A retrospective, institutional review board- approved case series of patients undergoing external dacryocystorhinostomy with an alternative stenting method. Following anastomosis of the posterior flaps, one arm of a Crawford silicone stent is passed through each canaliculus. Both arms are then passed through the nasolacrimal duct and retrieved in the inferior meatus. The 2 distal arms are redirected in the nose; one arm is looped around the proximal portions within the lacrimal sac and tied to the second arm. The stent is self-linked around the inferior turbinate. RESULTS: Nine patients underwent external dacryocystorhinostomy with alternative stenting. None experienced postoperative stent prolapse. At last follow-up (average, 38 months; range, 5-102 months), 8 patients reported resolution of tearing and exhibited normal dye clearance. On compression of the lacrimal sac, none of these 8 patients exhibited reflux of stagnant tears or dye through the canaliculi. CONCLUSIONS: This alternative method improves stent retention by using the inferior turbinate as a stopper to eliminate stent prolapse. The self-linking nature obviates the need and expense of additional biomedical devices. |
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Authors:
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Jennifer I Hui; Erin M Shriver; David T Tse |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Ophthalmic plastic and reconstructive surgery Volume: 27 ISSN: 1537-2677 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 2011 Mar-Apr |
Date Detail:
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Created Date: 2011-03-07 Completed Date: 2011-05-25 Revised Date: 2011-10-18 |
Medline Journal Info:
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Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 87-9 Citation Subset: IM |
Affiliation:
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Division of Ophthalmic Plastic/Reconstructive Surgery, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA. jhui@med.miami.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Dacryocystorhinostomy / methods* Female Follow-Up Studies Humans Intubation / methods* Lacrimal Duct Obstruction / therapy* Male Middle Aged Nasolacrimal Duct* Ostomy Prolapse Retrospective Studies Silicone Elastomers Stents* |
| Chemical | |
Reg. No./Substance:
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0/Silicone Elastomers |
| Comments/Corrections | |
Comment In:
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Ophthal Plast Reconstr Surg. 2011 Sep-Oct;27(5):394; author reply 395
[PMID:
21904180
]
Ophthal Plast Reconstr Surg. 2011 Sep-Oct;27(5):394-5; author reply 395-6 [PMID: 21904179 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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