Method of stenting the lacrimal sac after performing dacryocystorhinostomy

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Abstract

Lacrimal stents were used in the past to preserve the caliber of the lacrimal pathways after surgery, trauma, reconstruction, etc. Recently, their role in preventing functional epiphora has also been highlighted. Over the years, the stents have evolved and different models, materials and surgical techniques for positioning have appeared. Extensive and accurate knowledge of the type and design of the stent, the correct insertion technique offer optimal results depending on the anatomical area and the type of disorder of the lacrimal pathways. We will present the advantages of a simple catheterization technique for the lacrimal sac, endoscopic post-dacryocystorhinostomy.

1. Ducasse A, Adenis JP, Fayet B, George JL, Ruban JM. Les voies lacrymales. Elsevier/Masson; 2006.

2. Fayet B, Assouline M, Bernard JA. Monocanalicular nasolacrimal duct intubation. Ophthalmology. 1998;105(10):1795-6. DOI: 10.1016/S0161-6420(98)91014-4.

3. Ali MJ, Psaltis AJ, Ali MH, Wormald PJ. Endoscopic assessment of the dacryocystorhinostomy ostium after powered endoscopic surgery: behaviour beyond 4 weeks. Clin Exp Ophthalmol. 2014;43(2):152-5. DOI: 10.1111/ceo.12383. Epub 2014 Aug 12.

4. Kaufman LM, Guay-Bhatia LA. Monocanalicular intubation with Monoka tubes for the treatment of congenital nasolacrimal duct obstruction. Ophthalmology. 1998;105(2):336-41.

5. Goldstein S, Goldstein J, Katowitz JA. Comparison of monocanalicular stenting and balloon dacryoplasty in secondary treatment of congenital nasolacrimal duct obstruction after failed primary probing. Ophthalmic Plast Reconstr Surg. 2004;20(5):352-7.

6. Henderson JW. Management of strictures of the lacrimal canaliculi with polyethylene tubes. Arch Ophthalmol. 1950;44(2):198-203. DOI: 10.1001/archopht.1950.00910020203002.

7. Veirs ER. Malleable rods for immediate repair of the traumatically severed lacrimal canaliculus. Trans Am Acad Ophthalmol Otolaryngol. 1962;66:263-4.

8. Keith CG. Intubation of the lacrimal passages. Am J Ophthalmol. 1968;65(1):70-4.

9. Quickert MH, Dryden RM. Probes for intubation in lacrimal drainage. Trans Am Acad Ophthalmol Otolaryngol. 1970;74(2):431-3.

10. Crawford JS. Intubation of obstructions in the lacrimal system. Can J Ophthalmol. 1977;12(4):289-92.

11. Fayet B, Bernard JA, Pouliquen Y. Repair of recent canalicular wounds using a monocanalicular stent. Bull Soc Ophtalmol Fr. 1989;89(6-7):819-25.

12. Ruban JM, Guigon B, Boyrivent V. Analysis of the efficacy of the large mono-canalicular intubation stent in the treatment of lacrimation caused by congenital obstruction of the lacrimal ducts in infants. J Fr Ophtalmol. 1995;18(5):377-83.

13. Pe MR, Langford JD, Linberg JV, Schwartz TL, Sondhi N. Ritleng intubation system for treatment of congenital nasolacrimal duct obstruction. Arch Ophthalmol. 1998;116(3):387-91.

14. Dave TV, Javed Ali M. Intubation in lacrimal surgery: Devices and Techniques. In: Javed Ali M (ed.). Principles and Practice of Lacrimal Surgery. India: Springer; 2015, p.289-301.

15. Repka MX, Chandler DL, Holmes JM, Hoover DL, Morse CL, Schloff S, Silbert DI, Tien DR; Pediatric Eye Disease Investigator Group. Balloon catheter dilation and nasolacrimal duct intubation for treatment of nasolacrimal duct obstruction after failed probing. Arch Ophthalmol. 2009;127(5):633-9. DOI: 10.1001/archophthalmol.2009.66.

16. Fayet B, Katowitz WR, Racy E, Ruban JM, Katowitz JA. Pushed monocanalicular intubation: an alternative stenting system for the management of congenital nasolacrimal duct obstructions. JAAPOS. 2012;16(5):468-72. DOI: 10.1016/j.jaapos.2012.07.003.

17. Shams PN, Chen PG, Wormald PJ, Sloan B, Wilcsek G, McNab A, et al. Management of functional epiphora in patients with an anatomically patent dacryocystorhinostomy. JAMA Ophthalmol. 2014;132(9):1127-32. DOI: 10.1001/jamaophthalmol.2014.1093.

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