RESEARCH ARTICLE
Evaluation of the Role of Silicone Intubation in Non-complicated External Dacryocystorhinostomy
Omar M. Massoud1, Molham A. Elbakary1, *
Article Information
Identifiers and Pagination:
Year: 2020Volume: 14
First Page: 21
Last Page: 24
Publisher ID: TOOPHTJ-14-21
DOI: 10.2174/1874364102014010021
Article History:
Received Date: 27/12/2019Revision Received Date: 16/03/2020
Acceptance Date: 01/04/2020
Electronic publication date: 04/06/2020
Collection year: 2020
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.
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.