A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction

Nikolaos Trakos, Emmanouil Mavrikakis, Kostas G Boboridis, Marselos Ralidis, George Dimitriadis, Ioannis MavrikakisOculoplastic Service, Metropolitan Hospital, Athens, GreecePurpose: To describe a modification of the retrograde intubation dacryocystorhinostomy (DCR) in patients with proximal canalic...

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Autores principales: Nikolaos Trakos, Emmanouil Mavrikakis, Kostas G Boboridis, et al
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Lenguaje:EN
Publicado: Dove Medical Press 2009
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Acceso en línea:https://doaj.org/article/03e89fa283b242cc9e8dc4d7161efc4e
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spelling oai:doaj.org-article:03e89fa283b242cc9e8dc4d7161efc4e2021-12-02T01:37:24ZA modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction1177-54671177-5483https://doaj.org/article/03e89fa283b242cc9e8dc4d7161efc4e2009-11-01T00:00:00Zhttp://www.dovepress.com/a-modified-technique-of-retrograde-intubation-dacryocystorhinostomy-fo-a3759https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Nikolaos Trakos, Emmanouil Mavrikakis, Kostas G Boboridis, Marselos Ralidis, George Dimitriadis, Ioannis MavrikakisOculoplastic Service, Metropolitan Hospital, Athens, GreecePurpose: To describe a modification of the retrograde intubation dacryocystorhinostomy (DCR) in patients with proximal canalicular obstruction.Materials and methods: Interventional case report of a 43-year-old female with a nine-month history of left epiphora following a road traffic accident involving the proximal lower canaliculus. An external DCR approach was performed. Following the creation of a lower canalicular pseudopunctum, the O’Donoghue silicone stent was introduced through the common ostium, out through the pseudopunctum of the lower canaliculus, and returned through the punctum of the normal upper canaliculus down through the common ostium into the nose.Results: The patient experienced complete resolution of symptoms and on her last follow-up, two years later, her lower canaliculus was patent to syringing.Conclusion: This modification of the retrograde intubation DCR is an effective technique which decreases the intraoperative time needed to insert the tubes and minimises further trauma to the newly created punctal area.Keywords: retrograde dacryocystorhinostomy, proximal canalicular obstruction, midcanalicular obstruction, conjuctivodacryocystorhinostomy Nikolaos TrakosEmmanouil MavrikakisKostas G Boboridiset alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2009, Iss default, Pp 681-684 (2009)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Nikolaos Trakos
Emmanouil Mavrikakis
Kostas G Boboridis
et al
A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
description Nikolaos Trakos, Emmanouil Mavrikakis, Kostas G Boboridis, Marselos Ralidis, George Dimitriadis, Ioannis MavrikakisOculoplastic Service, Metropolitan Hospital, Athens, GreecePurpose: To describe a modification of the retrograde intubation dacryocystorhinostomy (DCR) in patients with proximal canalicular obstruction.Materials and methods: Interventional case report of a 43-year-old female with a nine-month history of left epiphora following a road traffic accident involving the proximal lower canaliculus. An external DCR approach was performed. Following the creation of a lower canalicular pseudopunctum, the O’Donoghue silicone stent was introduced through the common ostium, out through the pseudopunctum of the lower canaliculus, and returned through the punctum of the normal upper canaliculus down through the common ostium into the nose.Results: The patient experienced complete resolution of symptoms and on her last follow-up, two years later, her lower canaliculus was patent to syringing.Conclusion: This modification of the retrograde intubation DCR is an effective technique which decreases the intraoperative time needed to insert the tubes and minimises further trauma to the newly created punctal area.Keywords: retrograde dacryocystorhinostomy, proximal canalicular obstruction, midcanalicular obstruction, conjuctivodacryocystorhinostomy
format article
author Nikolaos Trakos
Emmanouil Mavrikakis
Kostas G Boboridis
et al
author_facet Nikolaos Trakos
Emmanouil Mavrikakis
Kostas G Boboridis
et al
author_sort Nikolaos Trakos
title A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
title_short A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
title_full A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
title_fullStr A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
title_full_unstemmed A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
title_sort modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/03e89fa283b242cc9e8dc4d7161efc4e
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