Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children

Herein we report our experience with a simple technique for reducing the rate of silicone tube extrusion after nasolacrimal duct (NLD) intubation for congenital NLD obstruction. Medical records of children older than 2 years, with or without history of failed probing, who had undergone NLD intubatio...

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Main Authors: Ali-Akbar Sabermoghaddam, Setareh Sagheb Hosseinpoor
Format: Article
Language:English
Published: Knowledge E 2010-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2010;volume=5;issue=4;spage=280;epage=283;aulast=Sabermoghaddam
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author Ali-Akbar Sabermoghaddam
Setareh Sagheb Hosseinpoor
author_facet Ali-Akbar Sabermoghaddam
Setareh Sagheb Hosseinpoor
author_sort Ali-Akbar Sabermoghaddam
collection DOAJ
description Herein we report our experience with a simple technique for reducing the rate of silicone tube extrusion after nasolacrimal duct (NLD) intubation for congenital NLD obstruction. Medical records of children older than 2 years, with or without history of failed probing, who had undergone NLD intubation with a Crawford silicone tube over a period of 4 years were reviewed. In all subjects, one end of the Crawford tube was passed through a piece of scalp vein tubing followed by applying one or two knots. All Crawford tubes were removed after 3 months. Main outcome measures included complications such as tube extrusion, nasal discharge, crust formation and pyogenic granuloma formation. Fifty-seven patients, including 49 unilateral and 8 bilateral cases with mean age of 3.8΁1.6 (range, 2 to 11.5) years were operated. No complications such as tube dislodgement, significant nasal discharge, crust or pyogenic granuloma formation occurred prior to Crawford tube removal. All silicone tubes were successfully removed from the nasal cavity. In conclusion, passing one end of the Crawford tube through a small piece of scalp vein tubing before knotting it in the nasal cavity seems to decrease the rate of tube extrusion which is the most common complication following NLD intubation in children.
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spelling doaj.art-26b2a0270477484b84765f74b6ac64502022-12-22T03:56:05ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2010-01-0154280283Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in ChildrenAli-Akbar SabermoghaddamSetareh Sagheb HosseinpoorHerein we report our experience with a simple technique for reducing the rate of silicone tube extrusion after nasolacrimal duct (NLD) intubation for congenital NLD obstruction. Medical records of children older than 2 years, with or without history of failed probing, who had undergone NLD intubation with a Crawford silicone tube over a period of 4 years were reviewed. In all subjects, one end of the Crawford tube was passed through a piece of scalp vein tubing followed by applying one or two knots. All Crawford tubes were removed after 3 months. Main outcome measures included complications such as tube extrusion, nasal discharge, crust formation and pyogenic granuloma formation. Fifty-seven patients, including 49 unilateral and 8 bilateral cases with mean age of 3.8΁1.6 (range, 2 to 11.5) years were operated. No complications such as tube dislodgement, significant nasal discharge, crust or pyogenic granuloma formation occurred prior to Crawford tube removal. All silicone tubes were successfully removed from the nasal cavity. In conclusion, passing one end of the Crawford tube through a small piece of scalp vein tubing before knotting it in the nasal cavity seems to decrease the rate of tube extrusion which is the most common complication following NLD intubation in children.http://www.jovr.org/article.asp?issn=2008-322X;year=2010;volume=5;issue=4;spage=280;epage=283;aulast=SabermoghaddamNasolacrimal Duct Intubation; Silicone Tube Extrusion; Crawford Tube; Nasolacrimal Duct Obstruction
spellingShingle Ali-Akbar Sabermoghaddam
Setareh Sagheb Hosseinpoor
Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children
Journal of Ophthalmic & Vision Research
Nasolacrimal Duct Intubation; Silicone Tube Extrusion; Crawford Tube; Nasolacrimal Duct Obstruction
title Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children
title_full Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children
title_fullStr Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children
title_full_unstemmed Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children
title_short Preventing Silicone Tube Extrusion after Nasolacrimal Duct Intubation in Children
title_sort preventing silicone tube extrusion after nasolacrimal duct intubation in children
topic Nasolacrimal Duct Intubation; Silicone Tube Extrusion; Crawford Tube; Nasolacrimal Duct Obstruction
url http://www.jovr.org/article.asp?issn=2008-322X;year=2010;volume=5;issue=4;spage=280;epage=283;aulast=Sabermoghaddam
work_keys_str_mv AT aliakbarsabermoghaddam preventingsiliconetubeextrusionafternasolacrimalductintubationinchildren
AT setarehsaghebhosseinpoor preventingsiliconetubeextrusionafternasolacrimalductintubationinchildren