Balloon dacryocystoplasty and monocanalicular intubation with Monoka tubes in the treatment of congenital nasolacrimal duct obstruction

Huang, Yu Hsun; Liao, Shu‐Lang; Lin, Longfei

doi:10.1007/s00417-009-1071-0

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…Despite having many advantages over bicanalicular intubation, it also has several important disadvantages, including greater tendency for spontaneous tube dislodgement with eye rubbing, and easier self-removal by the child [7]. The reported incidence of this complication varies significantly in different publications, ranging from 3% in some studies to as high as 44% in others (Table 4) [1,2,4,[7][8][9][10][11][12]. Our 44% incidence of premature tubeloss is comparable to that reported by Kaufaman et al [8]; however it is significantly higher than in other studies.…”

Section: Discussionmentioning

confidence: 93%

“…Older children can be better instructed not to touch their eye and to avoid eye rubbing; however, they also possess improved motor skills allowing tube self-withdrawal. Huang et al [12] reported that older children are less prone to early tube dislodgement, as in their study all children with this complication were younger than 4 years of age. On the other hand, Engel et al [2] found that the age of children whose tubes were prematurely lost was not different than that of children whose tubes were removed in the office as intended.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Early loss of monocanalicular silicone tubes in congenital nasolacrimal duct obstruction: Incidence, predictors, and effect on outcome

Dotan

Ohana

Leibovitch

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 96%

Early loss of monocanalicular silicone tubes in congenital nasolacrimal duct obstruction: Incidence, predictors, and effect on outcome

Dotan

Ohana

Leibovitch

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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“…The surgical treatment of NLDO in children is classically based on a stepwise paradigm, with probing as the primary procedure, followed by balloon catheter dilation [7]. Intubation has traditionally been reserved for congenital NLDO refractory to other measures [7][8][9]. Intubation involves the placement of a stent within the nasolacrimal duct to prevent re-closure of the membranous obstruction.…”

Section: Introductionmentioning

confidence: 99%

“…Intubation involves the placement of a stent within the nasolacrimal duct to prevent re-closure of the membranous obstruction. With the advent of technologically superior instrumentation and surgical skills, lacrimal intubation is not only an increasingly popular alternative to dacryocystorhinostomy (DCR) for cases which fail conservative management and probing, but also serves as an adjunct during balloon dacryoplasty [9] and DCR [10,11]. This systematic review aims to present the current role of intubation in the management of children with NLDO requiring surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

Tai

Kueh

Abdullah

2020

IJERPH

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Nasolacrimal duct obstruction (NLDO) is the most common cause of childhood epiphora. It is managed conservatively in the first year of life, after which surgical treatment is classically based on a stepwise paradigm of probing, intubation, and dacryocystorhinostomy. This systematic review aims to present the current role of intubation in the management of children with NLDO requiring surgical intervention. A search for English-language articles from the electronic databases PubMed, SCOPUS, and the COCHRANE library was conducted over a period of five months in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook. The following keywords were used to aid retrieval: stents, children, lacrimal intubation, endoscopic dacryocystorhinostomy, external dacryocystorhinostomy, NLDO, dacryocystitis, congenital, acquired. The primary outcome was defined as the success of the intervention, determined by resolution of symptoms and patency of the lacrimal anatomy confirmed by the fluorescein dye disappearance test or syringing. Secondary outcomes included the presence of complications. A total of 144 articles were identified; of these, 35 fulfilled the study criteria. The majority of the included studies involved lacrimal intubation alone, followed by intubation as an adjunctive procedure to balloon dacryoplasty and dacryocystorhinostomy. The overall success rate of these procedures ranged from 41.1% to 100%. Post-operative complications were reported in 65.7% of the included studies. Lacrimal intubation was most commonly performed as a primary procedure in children with NLDO, with high success rates. The main complication was stent dislodgement. There is lack of evidence regarding the benefit of intubation over probing as primary treatment of congenital NLDO. In the absence of high-quality evidence, the decision of whether to perform lacrimal intubation in children with NLDO requiring surgical intervention depends on clinical judgement and other low-level evidence, such as observational non-randomised trials.

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“…Each of these intubation systems has advantages and disadvantages [2, 3, 5–7, 9]. Whereas the bicanalicular system requires passing a tube through the inferior and superior puncta and through the lacrimal system into the nose, the monocanalicular system requires a single pass of the tube through the system [1, 2, 4].…”

Section: Introductionmentioning

confidence: 99%

Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction

Komínek

Červenka

Pniak

et al. 2011

Graefes Arch Clin Exp Ophthalmol

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BackgroundTo compare the success rate of monocanalicular intubation (MCI) compared with bicanalicular silicone intubation (BCI) in congenital nasolacrimal duct obstruction (CNLDO) in infants and toddlers.MethodsIn a prospective, nonrandomized, comparative study, MCI (n = 35 eyes) through the inferior canaliculus or BCI (n = 35 eyes) were performed under general anaesthesia in children aged 10 to 36 months with CNLDO. The tubes were removed 3–4 months after tube placement, and the children were followed up for 6 months after the removal of tubes. Therapeutic success was defined as the fluorescein dye disappearance test grade 0–1, corresponding with a complete resolution of previous symptoms. Partial success was defined as improvement with some residual symptoms.ResultsComplete and partial improvement was achieved in 31/35 (88.57%) in the BCI group and 34/35 (97.14%) in the MCI group. The difference between the two groups was not significant (p = 0.584). Complications occurred in both groups. Dislodgement of the tube and premature removal was observed in four BCI cases, and loss of the tube was observed twice in the MCI group. Canalicular slitting was observed in five eyes in the BCI group. Granuloma pyogenicum observed in 2 cases with MCI revealed a few weeks after the tube removal. Corneal erosion in the inferior medial quadrant was observed in one MCI eye and revealed in a few days after the local treatment without tube removal.ConclusionsBoth MCI and the BCI are effective methods for treating CNLDO. MCI has the advantage of a lower incidence of canalicular slit and easy placement.Electronic supplementary materialThe online version of this article (doi:10.1007/s00417-011-1700-2) contains supplementary material, which is available to authorized users.

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Balloon dacryocystoplasty and monocanalicular intubation with Monoka tubes in the treatment of congenital nasolacrimal duct obstruction

Abstract: The combined use of balloon dacryocystoplasty and monocanalicular intubation with Monoka tubes is an effective procedure for children with congenital nasolacrimal duct obstruction after failure of conservative treatment or probing.

Cited by 9 publications

References 26 publications

Early loss of monocanalicular silicone tubes in congenital nasolacrimal duct obstruction: Incidence, predictors, and effect on outcome

Early loss of monocanalicular silicone tubes in congenital nasolacrimal duct obstruction: Incidence, predictors, and effect on outcome

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

Monocanalicular versus bicanalicular intubation in the treatment of congenital nasolacrimal duct obstruction

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