RESEARCH ARTICLE


Evaluation of the Role of Silicone Intubation in Non-complicated External Dacryocystorhinostomy



Omar M. Massoud1, Molham A. Elbakary1, *
iD
, Osama E. Shalaby1, Aiman A. Hashish1
1 Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, Egypt


Article Metrics

CrossRef Citations:
1
Total Statistics:

Full-Text HTML Views: 2641
Abstract HTML Views: 863
PDF Downloads: 577
Total Views/Downloads: 4081
Unique Statistics:

Full-Text HTML Views: 1365
Abstract HTML Views: 429
PDF Downloads: 405
Total Views/Downloads: 2199



Creative Commons License
© 2020 Massoud et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to the author at the Faculty of medicine, Tanta University, postal no. 31527. Tanta, Egypt; E-mail: molhamelbakary@gmail.com


Abstract

Aim:

Evaluation of the role of silicone intubation in non-complicated External dacryocystorhinostomy (Ext-DCR).

Background:

Silicone intubation is described as a step of Ext-DCR. It was proposed that it may prevent obstruction involving the osteotomy or the common canaliculus. However, its necessity in non-complicated Ext-DCR is controversial.

Objective:

To study the effect of intubation and its duration on the results of non-complicated Ext-DCR.

Methods:

A prospective randomized interventional study that included 75 Ext-DCRs. Patients with a high risk of failure were not included. Patients were randomly distributed between 3 equal groups with either traditional 3 months intubation (group A), short-term intubation for 2-3 weeks (group B), or non-intubation (group C).

Results:

The success rate was 92%, 96%, and 92% in groups A, B, and C, respectively, with no significant differences (P = 0.853). Temporary foreign body sensation was reported in 16% in group A and 12% in group B. No significant complications were recorded in any of the 3 groups.

Conclusion:

Intubation (either short-term or 3 months) did not affect the results of Ext-DCR, which gives more evidence that it is not necessary in non-complicated cases.

Keywords: Silicone intubation, Dacryocystorhinostomy, Silicone tube, Nasolacrimal duct obstruction, Epiphora, External dacryocystorhinostomy.