A Multi-tool to Reduce Nasolacrimal Stent Complications With the Home-Removable Farson Crawford Tube
Autor: | Robert W Arnold, Celia Haering, Kara Byers Beck |
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Rok vydání: | 2015 |
Předmět: |
Male
Reoperation medicine.medical_specialty medicine.medical_treatment Dacryocystorhinostomy 03 medical and health sciences 0302 clinical medicine Patient age Lacrimal Duct Obstruction Medicine Postoperative outcome Humans Device Removal Nasolacrimal duct business.industry Rasp Stent General Medicine Surgery Ophthalmology medicine.anatomical_structure Dilator Child Preschool Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Female Stents business Duct obstruction Nasolacrimal Duct 030217 neurology & neurosurgery |
Zdroj: | Journal of pediatric ophthalmology and strabismus. 53(1) |
ISSN: | 1938-2405 |
Popis: | Purpose: Tear duct obstruction can be treated with probing and stenting, providing a reduced reoperation rate. A new instrument combining punctual dilation with the graduated diameter probe and bony-rasp was developed to assist the procedure. Methods: Laterality, type of nasolacrimal disorder, type of procedure, patient age, and postoperative outcome were monitored for one surgeon for two decades. Results: From 617 cases of pediatric tear duct obstruction, 494 used the bilateral, monocanalicular Farson method, yielding a 1.7% reoperation rate and 0.6% wire-strip rate. The nasolacrimal duct dilator rasp multi-tool, used since 1996, had a similarly low rate of complications. Conclusions: The Farson technique with the multi-tool provides an affordable, effective procedure for childhood nasolacrimal obstruction, allowing home removal of the stent. [ J Pediatr Ophthalmol Strabismus . 2016;53(1):52–54.] |
Databáze: | OpenAIRE |
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