Plastische und rekonstruktive Chirurgie der Tränenwege

Busse, H.; Hollwich, F.; Jünemann, G

doi:10.1007/978-3-642-87882-4_22

Cited by 8 publications

(13 citation statements)

References 3 publications

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“…Intubation of the lacrimal pathway after injuries has become a standard procedure which has increased the rate of postoperative patency [1,2,4,[6][7][8]. Stenosis and scar formation are avoided with silicone tubing.…”

Section: Discussionmentioning

confidence: 99%

“…After the silicone tube has been put in place successfully, the wound is closed layer by layer as described in the literature [1,2,6]. Finally, the silicone tube is shortened to the correct length and sutured with three sutures.…”

Section: Techniquementioning

confidence: 99%

“…If these maximes are observed, a success rate of 90% can be achieved [1,2]. The most difficult part of the operation has been the placement of the silicone sling [3].…”

Section: Introductionmentioning

confidence: 99%

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Ritleng Intubation Set: A New System for Lacrimal Pathway Intubation

Müllner

2000

Ophthalmologica

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Silicone tubing of the lacrimal pathway is used after lacrimal pathway injuries or canalicular stenosis. This procedure is often complicated by the so-called accordeon phenomenon. Far the last 3 years we have used a new system for lacrimal intubation: the Ritleng intubation set. It consists of a silcone tube which is connected to a polypropylene tube and a specially designed stainless probe for lacrimal insertion. Due to the smooth connection of the polypropylene tube and the silicone tube intubation can be performed easily and without the so-called accordeon phenomenon. In case of congenital or acquired lacrimal stenosis probing and silicone intubation can be performed in one step. We used this set in 19 lacrimal lacerations of the lacrimal pathway and in 7 cases of congenital and 12 cases of acquired lacrimal stenosis. With this specially designed lacrimal intubation set lacerated canaliculi can be quickly reapproximated. It allows probing of the lacrimal system and intubation in one procedure. In this report the technique and indications will be described and discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

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Ritleng Intubation Set: A New System for Lacrimal Pathway Intubation

Müllner

2000

Ophthalmologica

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“…Durch die Schienung der Trä-nenwege sollen Stenosen, narbige Strikturen und Verwachsungen vermieden werden. Bei den angeborenen und erworbenen Tränenwegsstenosen, dient das Silikonschläuchlein als Platzhalter und soll eine rasche Restenosierung oder Ver -k l e b u n g verhindern [3]. Die Schwierigkeit bei der Versorgung verletzter Tränen-wege lag bis jetzt im Einbringen des Silikonschlauches in den Tränenweg nach bereits erfolgter Sondierung mit der 142 Kellnarsonde.…”

Section: Diskussionunclassified

“…Die erfolgreiche Versorgung verletzter Tränenwege beruht auf der exakten Anastomosierung der lacerierten Schleimhaut mit Schienung mittels eines Führungsfadens [1][2][3][4]6]. Unter Beachtung dieser Maxime beträgt die Erfolgsquote 90%.…”

Section: Introductionunclassified