J Korean Ophthalmol Soc > Volume 60(12); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(12):1128-1133.
DOI: https://doi.org/10.3341/jkos.2019.60.12.1128    Published online December 15, 2019.
Effect of Nasal Wall Fixation of Silicone Tube Intubation on Congenital Nasolacrimal Duct Obstruction.
Jae Hyun Oh, Sang Duck Kim
1Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea. sangduck@wku.ac.kr
2Institute of Wonkwang Medical Science, Wonkwang University College of Medicine, Iksan, Korea.
선천코눈물관막힘 환아에서 실리콘관삽입술 시 실리콘관의 코벽 고정 효과
오재현1,2 · 김상덕1,2
원광대학교 의과대학 안과학교실1, 원광대학교 의과대학 원광의과학연구소2
Correspondence:  Sang Duck Kim,
Email: sangduck@wku.ac.kr
Received: 19 July 2019   • Revised: 4 September 2019   • Accepted: 6 December 2019
Abstract
PURPOSE
We determined the effects of silicone tube tip fixation on the nasal wall using an absorbable suture during silicone tube intubation in patients with congenital nasolacrimal duct obstruction. METHODS: Patients (55:71 eyes) diagnosed with congenital nasolacrimal duct obstruction and who underwent silicone tube intubation were divided into two groups: those in which the silicone tube was fixed to the nasal wall using an absorbable suture (fixed group) or not (non-fixed group). We investigated the percentage of silicone tube displacement, the time for displacement, the success of surgery, and the method of removing the silicone tube after surgery. RESULTS: The mean age, percentage of early displacement within 1 month, time to displacement, and success rate of surgery were 2.4 years, 0% (0/35), 1.4 months, and 100% (35/35) in the fixed group (35 patients) and 1.8 years, 44% (16/36), 0.8 months, and 97% (35/36) in the non-fixed group (36 patients), respectively. Both groups were able to remove the silicone tube simply through lacrimal punctum at the outpatient clinic. CONCLUSIONS: In patients with congenital nasolacrimal duct obstruction, silicone tube fixation at the nasal wall after silicone tube intubation can prevent early displacement of silicone tubes within 1 month. This is a simple and effective technique because it removes the silicone tube through the lacrimal punctum without general anesthesia or intravenous anesthesia.
Key Words: Absorbable suture;Congenital nasolacrimal duct obstruction;Silicone tube displacement;Silicone tube fixation;Silicone tube intubation


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