| The experience with Ritleng intubation system in patients with congenital nasolacrimal duct obstruction. | |
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MedLine Citation:
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PMID: 15510931 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To report the clinical experience and success rate with Ritleng intubation system in patients with congenital nasolacrimal duct obstruction. METHODS: Twenty-four patients (32 eyes) with congenital nasolacrimal duct obstruction treated with the Ritleng intubation system were enrolled in this study. The mean age was 20.1+/-9.6 months. The technique involved introduction of a Prolene monofilament guide thread, securely fastened to silicone tubing, into a tubular metal probe that opened into the inferior meatus. Success was defined as complete resolution of previous symptoms and a normal result of dye disappearance test in cooperative patients. To establish relationship of success rate with patients' ages, these data were compared and analyzed. RESULTS: All eyes were successfully intubated with the Ritleng system. The Prolene monofilament spontaneously emerged from the nose in 19 (60%) of 32 eyes, making retrieval simple and uncomplicated. The overall success rate (of all aged groups) was 90%. In the group over 24 months of age, there was no significant decrease in the success rate (p > 0.1), but obvious difficulty in intubation and lengthy operation time were noted. CONCLUSIONS: Silicone intubation with the Ritleng system is an effective treatment for patients with congenital nasolacrimal duct obstruction, especially at young age. Comparing with conventional metal probe system, there was minimal nasal bleeding and trauma to the nasal mucosa with Ritleng intubation system. With the advantage of easy retrieval, operation time can be shortened, thereby improving patient care and decreasing potential morbidity. |
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Authors:
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Po-Liang Chen; Chiao-Hong Chen; Chih-Hsien Hsiao; Cheng-Jong Chang |
Publication Detail:
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Type: Clinical Trial; Journal Article; Retracted Publication |
Journal Detail:
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Title: Journal of the Chinese Medical Association : JCMA Volume: 67 ISSN: 1726-4901 ISO Abbreviation: J Chin Med Assoc Publication Date: 2004 Jul |
Date Detail:
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Created Date: 2004-10-29 Completed Date: 2005-01-05 Revised Date: 2008-09-30 |
Medline Journal Info:
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Nlm Unique ID: 101174817 Medline TA: J Chin Med Assoc Country: China (Republic: 1949- ) |
Other Details:
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Languages: eng Pagination: 344-8 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Tri-Service General Hospital, Taipei, Taiwan, ROC. chenboli@gcn.net.tw |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Child, Preschool Equipment and Supplies Female Humans Infant Intubation / instrumentation* Lacrimal Duct Obstruction / congenital*, therapy* Male Nasolacrimal Duct / abnormalities Silicones / therapeutic use Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Silicones |
| Comments/Corrections | |
Comment In:
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J Chin Med Assoc. 2008 Jun;71(6):273-4
[PMID:
18567555
]
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Retraction In:
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Lee SD. J Chin Med Assoc. 2008 Jun;71(6):329
[PMID:
18567567
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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