Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu srovnávací studie, časopisecké články
PubMed
21681436
PubMed Central
PMC3203220
DOI
10.1007/s00417-011-1700-2
Knihovny.cz E-zdroje
- MeSH
- celková anestezie MeSH
- ductus nasolacrimalis abnormality patofyziologie MeSH
- fluorescein metabolismus MeSH
- intubace metody MeSH
- kojenec MeSH
- lidé MeSH
- obstrukce slzovodu vrozené patofyziologie terapie MeSH
- odstranění implantátu MeSH
- pooperační komplikace MeSH
- předškolní dítě MeSH
- prospektivní studie MeSH
- silikonové elastomery * MeSH
- výsledek terapie MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- Názvy látek
- fluorescein MeSH
- silikonové elastomery * MeSH
BACKGROUND: To compare the success rate of monocanalicular intubation (MCI) compared with bicanalicular silicone intubation (BCI) in congenital nasolacrimal duct obstruction (CNLDO) in infants and toddlers. METHODS: In a prospective, nonrandomized, comparative study, MCI (n = 35 eyes) through the inferior canaliculus or BCI (n = 35 eyes) were performed under general anaesthesia in children aged 10 to 36 months with CNLDO. The tubes were removed 3-4 months after tube placement, and the children were followed up for 6 months after the removal of tubes. Therapeutic success was defined as the fluorescein dye disappearance test grade 0-1, corresponding with a complete resolution of previous symptoms. Partial success was defined as improvement with some residual symptoms. RESULTS: Complete and partial improvement was achieved in 31/35 (88.57%) in the BCI group and 34/35 (97.14%) in the MCI group. The difference between the two groups was not significant (p = 0.584). Complications occurred in both groups. Dislodgement of the tube and premature removal was observed in four BCI cases, and loss of the tube was observed twice in the MCI group. Canalicular slitting was observed in five eyes in the BCI group. Granuloma pyogenicum observed in 2 cases with MCI revealed a few weeks after the tube removal. Corneal erosion in the inferior medial quadrant was observed in one MCI eye and revealed in a few days after the local treatment without tube removal. CONCLUSIONS: Both MCI and the BCI are effective methods for treating CNLDO. MCI has the advantage of a lower incidence of canalicular slit and easy placement.
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Kaufman LM, Guay-Bhatia LAG. Monocanalicular intubation with Monoka tubes for the treatment of congenital nasolacrimal duct obstruction. Ophthalmology. 1998;105:336–341. doi: 10.1016/S0161-6420(98)93445-5. PubMed DOI
Freitag SK, Woog JJ. Congenital nasolacrimal obstruction. Ophthalmol Clin North Am. 2000;13:705–718. doi: 10.1016/S0896-1549(05)70227-3. DOI
Engel JM, Hicuje-Schmidt C, Khammar A, Ostfeld BM, Vyas A, Ticho BH. Monocanalicular silastic intubation bor the initial correction of congenital nasolacrimal duct obstruction. J AAPOS. 2007;11:183–186. doi: 10.1016/j.jaapos.2006.09.009. PubMed DOI
Kashkouli MB, Kempster RC, Galloway GD, Beigi B. Monocanalicular versus bicanalicular silicone intubation for nasolacrimal duct stenosis in adults. Ophthal Plast Reconstr Surg. 2005;21:142–147. doi: 10.1097/01.IOP.0000155524.04390.7B. PubMed DOI
Huang YH, Liao SL, Lin LLK. Balloon dacryocystoplasty and monocanalicular intubation with Monoka tubes in the treatment of congenital nasolacrimal duct obstruction. Graefes Arch Clin Exp Ophthalmol. 2009;247:795–799. doi: 10.1007/s00417-009-1071-0. PubMed DOI
Pashby RC, Hurwitz JJ. Pediatric lacrimal diseases. In: Hurwitz JJ, editor. The lacrimal system. 1. Philadelphia: Lippincott Raven; 1996. pp. 237–244.
Fayet B, Assouline M, Bernard JA. Letter to editor (Monocanalicular intubation with Monoka tubes for the treatment of congenital nasolacrimal duct obstruction) Ophthalmology. 1998;106:1795–1796. doi: 10.1016/S0161-6420(98)91014-4. PubMed DOI
Fayet B, Bernard JA. A monocanalicular stent with self-stabilizing meatic fixation in surgery of excretory lacrimal ducts. Initial results. Ophtalmologie. 1990;4:351–357. PubMed
Fayet B, Hurbli T, Renard G, Ruban JM, Racy E, Bernard JA. Suggested precautions when using a monocanalicular stent. Ophthal Plast Reconstr Surg. 2001;17:76–77. doi: 10.1097/00002341-200101000-00015. PubMed DOI
Komínek P, Červenka S, Novák V. Intubation of the lacrimal pathways under endoscopic control. Ophthalmologica. 2000;214:381–384. doi: 10.1159/000027529. PubMed DOI
Repka MX, Melia BM, Beck RW. Primary treatment of nasolacrimal duct obstruction with nasolacrimal duct intubation in children younger than 4 years of age. J AAPOS. 2008;12:445–450. doi: 10.1016/j.jaapos.2008.03.005. PubMed DOI PMC
Dortzbach RK, France TD, Kushner BT, Gonnering RS. Silicone intubation for obstruction of the nasolacrimal duct in children. Am J Ophthalmol. 1982;94:585–590. PubMed
Fayet B, Bernard JA, Assouline M. Bicanalicular versus monocanalicular silicone intubation for nasolacrimal duct impatency in children: a comparative study. Orbit. 1993;12:149–156. doi: 10.3109/01676839309019115. DOI
