Assessing the Usefulness of Different Silicone Tubes in External Dacryocystorhinostomy

Abstract

Introduction: External dacryocystorhinostomy is a surgical procedure for the treatment of lacrimal drainage system disorders. Aim: To assess the usefulness of different silicone tubes in external dacryocystorhinostomy. Material and Methods: This study sampled 97 patients with lacrimal drainage system disorders who underwent the external dacryocystorhinostomy using two different silicone tubes. Forty one patients (Group A) underwent external dacryocystorhinostomy with silicone intubation using Nunchaku-style tubes, while in 56 patients (Group B) dacryocystorhinostomy was performed with O‘Donoghue silicone tubes. The data was analyzed using T-test, Chi-squared test and Fisher’s test. Results: The success rate was evaluated by achieved patency to irrigation and relief of epiphora. Patency in the group with Nunchaku-style tubes was 95.1% compared to 94.6% in the group with O‘Donoghue silicone tubes (p>0.05). Conclusion: Both tubes in external dacryocystorhinostomy were useful in the management of lacrimal drainage system disorders. Although it is easier and quicker to intubate and extubate Nunchaku-style tubes compared to O‘Donoghue silicone tubes, there was no statistically significant difference in success rate between the compared groups.

Adjunctive techniques to dacryocystorhinostomy: an evidence‐based review with recommendations

“…Overall evidence is limited, with only 4 relevant studies evaluating this question. One study evaluated 2 different types of silicone tubes and found that there was no significant difference in success rate between the compared groups 69 . A retrospective study evaluating silicone vs T‐tubes in endoscopic DCR suggested similar success rates 70 ; however, a prospective randomized study by Okuyucu et al 71 .…”

“…One study evaluated 2 different types of silicone tubes and found that there was no significant difference in success rate between the compared groups. 69 A retrospective study evaluating silicone vs T-tubes in endoscopic DCR suggested similar success rates 70 ; however, a prospective randomized study by Okuyucu et al 71 comparing silicone, otologic T-tubes, and polypropylene found the success rate to be highest with silicone (87.5%), followed by polypropylene (84.4%) and T-tubes (62.5%). Spontaneous loss was a common complication with the T-tubes, and polypropylene was found to be related with orbital complications.…”

Can We Use an Intravenous Cannula as an Alternative Guide Material in Some Eye Operations?

“…Many surgical techniques and instruments for stent placement have been described. The material of choice for stenting in the lacrimal system is silicone, which is generally inert within the system [8,9]. Stents implanted with in nasolacrimal system prevent adherence of the mucosal lining of the ducts during healing and maintain long term patency after removal [8,10].…”

Efficacy of Endoscopic Endonasal Common Canaliculorhinostomy for Chronic Dacryocystitis with Small Lacrimal Sac in the Treatment of Failed Patients After EE-DCR

“…The existing surgical methods include lacrimal intubation, YAG laser , external dacryocystorhinostomy (Ex-DCR) and EE-DCR [3][4]. For more than 100 years, Ex-DCR has been regarded as the "gold standard" for the treatment of chronic dacryocystitis, but it can't meet people's growing medical needs due to the shortcomings of facial skin scar, large trauma, affecting the function of "tear pump" and unable to deal with nasal complications at the same time [5][6][7]. Over the past 10 years, with the continuous improvement of endoscopic imaging system, ENT micro power system and other medical equipment, EE-DCR is highly recommended in clinic because of its incomparable advantages of Ex-DCR, such as no facial skin incision, minimally invasive and does not affect the function of "tear pump", simultaneous treatment of nasal complications, et al However, so far, the e cacy of EE-DCR has been reported differently, and its losers are not rare [8][9][10].…”