| The lacrimal bypass tube for lacrimal pump failure attributable to facial palsy. | |
| | |
MedLine Citation:
|
PMID: 19896634 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To describe the use of a lacrimal bypass tube in the management of epiphora in patients with epiphora attributable to lacrimal pump failure in facial palsy. DESIGN: Multicenter retrospective interventional study. METHODS: Information regarding patient demographics, diagnoses, symptoms, oculoplastic interventions, dacryocystorhinostomy, and Jones tube insertion were collected from patient charts. RESULTS: Eighteen patients were identified, in all of whom epiphora was clinically and/or radiologically assessed as being attributable to pump failure, lid laxity having been corrected. All had constant epiphora prior to Jones tube insertion. Dacryocystorhinostomy was performed in all; insertion of a Jones tube was performed simultaneously in 12, with delayed insertion in 6. Patients' subjective epiphora improved postoperatively in 15 of 18 (83.3%) and at final median follow-up of 27.5 months (range, 6 months to 31 years); symptoms were improved in 13 of 18 (72.2%). Complications occurred in 13 of 18 (72.2%), including tube extrusion and the need for repositioning. CONCLUSIONS: In this highly selected group of patients, Jones tube insertion led to symptom improvement in 83.3% postoperatively and in 72.2% at median follow-up of 27.5 months. Tube extrusion and migration were common, although such complications were not unexpected and were treatable. |
| | |
Authors:
|
Simon N Madge; Raman Malhotra; Jeanlouis Desousa; Alan McNab; Brett O'Donnell; Peter Dolman; Dinesh Selva |
Related Documents
:
|
8310404 - Tube jejunostomy as an adjunct to esophagectomy. 3141644 - Diagnosis-related group impact of nutrition support in cardiac surgery patients. 2116544 - Evaluation of branched-chain amino acid intake in children with maple syrup urine disea... 3120634 - Effects of postoperative carbohydrate overfeeding. 20954664 - Intra-articular injection of hyaluronic acid following arthroscopic partial meniscectom... 3488414 - Liver packing for uncontrolled hemorrhage: a reappraisal. |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2009-11-06 |
Journal Detail:
|
Title: American journal of ophthalmology Volume: 149 ISSN: 1879-1891 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-01-27 Completed Date: 2010-02-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: United States |
Other Details:
|
Languages: eng Pagination: 155-9 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
Discipline of Ophthalmology & Visual Sciences, University of Adelaide, Adelaide, South Australia, Australia. drsimonmadge@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Child Dacryocystorhinostomy Facial Paralysis / complications* Female Humans Intubation / instrumentation, methods* Lacrimal Apparatus Diseases / etiology, surgery* Male Middle Aged Nasolacrimal Duct / surgery* Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Rotational Stability of a Single-Piece Hydrophobic Acrylic Intraocular Lens During Removal of Ophtha...
Next Document: Standard-Fluence versus Low-Fluence Photodynamic Therapy in Chronic Central Serous Chorioretinopathy...