A New, Wider-Diameter Crawford Tube for Stenting in the Lacrimal Drainage System

Hurwitz, Jeffrey J.

doi:10.1097/01.iop.0000103008.01277.be

Cited by 15 publications

(16 citation statements)

References 6 publications

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“…Tables 5 and 6 summarize the tuberelated complications in the present study and the complications associated with previous double silicone stenting studies. Compared with the single-stent group, no significant complications appeared, which was consistent with previous reports [11][12][13][14][15]. The other treatment methods implicated for canalicular obstruction are DCR combined with membranectomy [5,6], trephination and silicone tube stenting [7,16], ballooning with/without silicone stenting [17,18], ballooning canaliculoplasty following lacrimal trephination [8], and intraoperative use of mitomycin C [9,10].…”

Section: Discussionsupporting

confidence: 85%

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Bicanalicular double silicone stenting in endoscopic dacryocystorhinostomy with lacrimal trephination in distal or common canalicular obstruction

Paik

Cho

Yang

2011

Eur Arch Otorhinolaryngol

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The purpose of the study was to evaluate the clinical effects of bicanalicular double silicone stents in endoscopic transnasal dacryocystorhinostomy with lacrimal trephinized canaliculoplasty for monocanalicular and common canalicular obstruction. Bicanalicular double silicone intubation in endoscopic transnasal dacryocystorhinostomy with lacrimal trephination was performed in 58 eyes of 54 patients (5 men, 49 women; mean age: 55.9 ± 14.9 years) with epiphora due to monocanalicular and common canalicular obstruction between November 2007 and August 2010. We reviewed the records of subjects who had undergone the same surgery with a bicanalicular single intubation for same disease between March 2004 and October 2007 as controls (56 eyes of 50 patients). We evaluated age, gender, the operative side, the site of canalicular obstruction, and the effects of double silicone intubation. Complications relating to the silicone tube were also investigated. The double-stent group showed higher anatomical success rates (91.4%) and functional success rates (82.8%) than the single-stent group (75.0 and 69.6%, respectively) (p = 0.034 and p = 0.103, respectively). Bicanalicular double silicone stenting in endoscopic transnasal dacryocystorhinostomy with lacrimal trephinized canaliculoplasty may be an effective treatment for monocanalicular and common canalicular obstructions. This may also reduce more invasive surgery including Jones tube insertion (p = 0.038).

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Section: Discussionsupporting

confidence: 85%

“…Hurwitz [11] suggested the use of a larger-diameter Crawford tube for stenting in the lacrimal drainage system in patients with failed DCR. In this report, a larger-diameter stent maintained a better separation of the lacrimal channel walls, which would be expected to decrease the chance of restenosis following stent removal.…”

Section: Discussionmentioning

confidence: 99%

Bicanalicular double silicone stenting in endoscopic dacryocystorhinostomy with lacrimal trephination in distal or common canalicular obstruction

Paik

Cho

Yang

2011

Eur Arch Otorhinolaryngol

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“…Reports speculated that a larger-diameter stent would keep the lacrimal channel walls more separated. This would decrease the chance of restenosis after stent removal (Hurwitz 2004). Alternatively, a wider dilation of the lacrimal system may be achieved by double intubation of the stent (Mauffray et al 2004;Caversaccio & Hausler 2006).…”

Section: Discussionmentioning

confidence: 99%

Bicanalicular double silicone intubation in external dacryocystorhinostomy and canaliculoplasty for distal canalicular obstruction

Hwang

Khwarg

Kim³

et al. 2009

Acta Ophthalmologica

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. Purpose: We aimed to evaluate the effectiveness of bicanalicular double silicone intubation in dacryocystorhinostomy (DCR) and canaliculoplasty for distal or common canalicular obstruction. Methods: We reviewed the medical records of patients with distal or common canalicular obstruction who had undergone bicanalicular double silicone intubation (insertion of two tubes into each canaliculus) during external DCR and canaliculoplasty. We reviewed the records of subjects who had undergone the same surgery with a bicanalicular single intubation as control material. The tubes were removed at around 6 months after surgery. Anatomical and functional success rates of patients who were followed up for > 2 months after the removal of tube(s) were evaluated. In addition, complications related to the silicone tube were evaluated. Results: Data for 60 eyes of 45 patients in the double‐intubation group and 69 eyes of 65 patients in the single‐intubation group were retrieved. The double‐intubation group showed higher anatomical success rates (96.5%) than the single‐intubation group (85.5%). Functional success was achieved by 53 (88.3%) of 60 eyes in the double‐intubation group and 56 (81.2%) of 69 eyes in the single‐intubation group. There was no significant difference in complication rates between the two groups. Conclusions: Bicanalicular double silicone intubation for DCR and canaliculoplasty may be an effective mode of treatment for patients with distal or common canalicular obstruction.

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“…В настоящее время эффективность этого метода подвергается сомне-нию [18,42], но ряд исследователей описывают хо-рошие результаты при данном способе лечения [17].…”

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“…С появлением новых материалов в XX в. полу-чила распространение операция реканализации [2], которая заключается в зондировании слезоотводя-щих путей и последующей временной интубации просвета имплантатом -шёлковым, металличе-ским, эластическим, латексным [11], полиэтилено-вым [10], пластиковым [9], нейлоновым, металличе-ским, полиуретановым или силиконовым [2,34,42]. Такое хирургическое вмешательство менее травма-тично и более физиологично восстанавливает есте-ственный слезоотток без выполнения технически сложной операции [2].…”

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Lacrimal stents in the lacrimal pathways’ surgery

Orlova

Игоревна²,

Давыдов

et al. 2017

Ophthalmology Reports

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This review addresses various types of lacrimal implants, which are used in the surgery of lacrimal pathways. The authors describe modern and used in the past methods of lacrimal passage restoration recanalization techniques, and dacryocystorhinostomy procedures by external and endonasal approaches using stents of various shape, size and design, which often determine the outcome of surgery and the degree of its efficacy. Lacrimal implants are constantly modified and improved. Indications for intubation and the extubation terms are not yet clearly defined. Techniques for lacrimal drainage restoration, lacrimal stents’ use, most effective stent models, indications and contraindications, conduct of experimental studies - all that questions are still awaiting further investigation. (For citation: Orlova EI, Davydov DV. Lacrimal stents in the lacrimal pathways’ surgery. Ophthalmology Journal. 2017;10(4):48-55. doi: 10.17816/OV10448-55).

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A New, Wider-Diameter Crawford Tube for Stenting in the Lacrimal Drainage System

Cited by 15 publications

References 6 publications

Bicanalicular double silicone stenting in endoscopic dacryocystorhinostomy with lacrimal trephination in distal or common canalicular obstruction

Bicanalicular double silicone stenting in endoscopic dacryocystorhinostomy with lacrimal trephination in distal or common canalicular obstruction

Bicanalicular double silicone intubation in external dacryocystorhinostomy and canaliculoplasty for distal canalicular obstruction

Lacrimal stents in the lacrimal pathways’ surgery

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