Intubation of the ostium and nasolacrimal duct with a single self-linking silicone stent in external dacryocystorhinostomy

Jennifer I. Hui, Erin M. Shriver, David Tse

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: To describe a stent placement method that eliminates stent prolapse in external dacryocystorhinostomy. Methods: A retrospective, institutional review board-approved case series of patients undergoing external dacryocystorhinostomy with an alternative stenting method. Following anastomosis of the posterior flaps, one arm of a Crawford silicone stent is passed through each canaliculus. Both arms are then passed through the nasolacrimal duct and retrieved in the inferior meatus. The 2 distal arms are redirected in the nose; one arm is looped around the proximal portions within the lacrimal sac and tied to the second arm. The stent is self-linked around the inferior turbinate. Results: Nine patients underwent external dacryocystorhinostomy with alternative stenting. None experienced postoperative stent prolapse. At last follow-up (average, 38 months; range, 5-102 months), 8 patients reported resolution of tearing and exhibited normal dye clearance. On compression of the lacrimal sac, none of these 8 patients exhibited reflux of stagnant tears or dye through the canaliculi. Conclusions: This alternative method improves stent retention by using the inferior turbinate as a stopper to eliminate stent prolapse. The self-linking nature obviates the need and expense of additional biomedical devices.

Original languageEnglish
Pages (from-to)87-89
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume27
Issue number2
DOIs
StatePublished - Mar 1 2011

Fingerprint

Nasolacrimal Duct
Dacryocystorhinostomy
Silicones
Intubation
Stents
Arm
Prolapse
Turbinates
Coloring Agents
Research Ethics Committees
Tears
Nose
Equipment and Supplies

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Intubation of the ostium and nasolacrimal duct with a single self-linking silicone stent in external dacryocystorhinostomy. / Hui, Jennifer I.; Shriver, Erin M.; Tse, David.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 27, No. 2, 01.03.2011, p. 87-89.

Research output: Contribution to journalArticle

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