Management of Traumatic Dacryocystitis and Failed Dacryocystorhinostomy Using Silicone Lacrimal Intubation Set

Abstract

The aim of this work is to study the management and success rate of traumatic dacryocystitis and failed dacryocystorhinostomy (DCR) using Silicone lacrimal intubation set. A prospective study was conducted at a tertiary eye care hospital, India from February 2006 to January 2008. This study material comprised 50 patients of traumatic dacryocystitis and failed dacryocystorhinostomy. Anterior single flap external dacryocystorhinostomy with Silicon intubation was performed in all the patients. The patients were followed up at weekly intervals for 1 month and thereafter every 2 months for 1 year post operatively. Criteria determining success were based on resolution of epiphora and patency on syringing. In traumatic dacryocystitis, 21(91.3%) cases fulfilled these criteria while 23(85.2%) cases of failed DCR were successful. The overall success rate (88%) was determined with an average follow-up of 1 year. Globally, the technique was effective in 85% of cases. The results were comparable with other similar studies. This study concludes that performing a DCR in traumatic dacryocystitis and failed DCR taking into consideration the complications and chances of failure is a challenge for the surgeon. We opine that External dacryocystorhinostomy with Silicon Intubation is one of the most effective modality in dealing with such cases.

To Study the Effect of Silicone Tube Intubation with and without Mitomycin C in Revision of Failed Dacryocystorhinostomy Surgery

“…Syed Ali Raza Rizvi et al, (2011) were included 50 patients of traumatic dacryocystitis and failed dacryocystorhinostomy in there study and concluded that Silicone Intubation is one of the most effective modality in dealing with such cases [7]. Imtiyaz A.…”

Comparative Study on Dacryocystorhinostomy (DCR) Surgery with Silicone Tube Intubation and Without Silicone Tube Intubation at Geta Eye Hospital

“…Rizvi SA, et al, [14] included patients of traumatic dacryocystitis and failed dacryocystorhinostomy in their study and came to a result that Silicone Intubation is one of the most effective modality in dealing with such cases.…”

Surgical Management of Traumatic Nasolacrimal duct Obstruction

“…Soft tissue edema, scarring, or bony displacement can result in diagnostic pitfalls and may affect surgical prognosis (1). Patients with permanent epiphora or recurrent dacryocystitis after maxillofacial trauma should be evaluated for traumatic NLDO (2). Proper fixation of all fractures and immediate posttraumatic canalicular repair decreases the incidence of postoperative epiphora (3).…”

“…Reassessment of the NLDO should be performed 1 to 3 months after initial trauma when resolution of edema and soft tissue injuries permits definitive evaluation (5). Careful assessment, including the level of obstruction, is critical for medical decision-making and outcome (2). In this study, we evaluate the demographics, etiologies, surgical treatments, and outcome of posttraumatic NLDO.…”