Simultaneous silicone intubation through the osteotomy and the nasolacrimal duct during dacryocystorhinostomy.
OBJECTIVE
To determine whether simultaneous silicone intubation of the osteotomy and the nasolacrimal duct is advantageous in some dacryocystorhinostomy procedures.


METHODS
Silicone tubing was placed through both the osteotomy and the nasolacrimal duct in two patients who underwent dacryocystorhinostomy for dacryolithiasis.


RESULTS
Postoperatively, signs and symptoms of nasolacrimal obstruction were relieved, and lacrimal irrigation confirmed anatomic patency of the tear drainage canals in both cases.


CONCLUSIONS
Simultaneous intubation of the osteotomy and the nasolacrimal duct prevents prolapse of the silicone stent and may decrease the frequency of postoperative scarring.
Bartley
G B
GB
Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905, USA.
D003608:Dacryocystorhinostomy / Q000379:methods*; D006801:Humans; D007440:Intubation / Q000379:methods*; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D009301:Nasolacrimal Duct; D010030:Ostomy; D012826:Silicone Elastomers
D012826:Silicone Elastomers