Silicone intubation with tissue glue anastomosis in the treatment of congenital nasolacrimal duct obstruction.
OBJECTIVE
To evaluate the advantages of tissue glue application for the anastomosis of silicone intubation in congenital nasolacrimal duct obstruction.


METHODS
Patients with congenital nasolacrimal duct obstruction were treated with silicone intubation with the aid of tissue glue for end-to-end anastomosis. The recurrence rate, complications, and the need for general anesthesia at tube removal were recorded.


RESULTS
The silicone tubes for all 18 eyes studied were removed smoothly on an outpatient basis. Early extrusion was noted in 3 eyes. No recurrence of epiphora was noted in any eye after more than 6 months of follow-up.


CONCLUSIONS
Tissue glue anastomosis is a beneficial modification that avoids the need for general anesthesia during stent removal in children and allows removal to be easily performed in an outpatient clinic.
Liao
C L
CL
Department of Ophthalmology National Taiwan University Hospital, Taipei.
Kao
S C
SC
Lin
P R
PR
Wu
K C
KC
Hou
P K
PK
D000714:Anastomosis, Surgical / Q000379:methods*; D002675:Child, Preschool; D003487:Cyanoacrylates; D003608:Dacryocystorhinostomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007440:Intubation / Q000295:instrumentation; D007767:Lacrimal Duct Obstruction / Q000151:congenital*; D008297:Male; D009301:Nasolacrimal Duct / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D012826:Silicone Elastomers; D015607:Stents; D013536:Suture Techniques; D016896:Treatment Outcome
D003487:Cyanoacrylates; D012826:Silicone Elastomers