Optimisation of reduction for prolapsed silicone tube after lacrimal intubation

A common complication of bicanalicular intubation is dislocation of the silicone tube. Eleven patients with prolapsed silicone tubes who had undergone bicanalicular nasal intubation were injected with a 2 per cent lidocaine solution to infiltrate the lacrimal duct mucosa. A memory wire probe was use...

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Bibliographic Details
Published in:Journal of laryngology and otology 2024-05, Vol.138 (5), p.535-539
Main Authors: Shen, Xiao, Huang, Chunlian, Wang, Shili, Wen, Jing
Format: Article
Language:English
Subjects:
Adult
Aged
Eye diseases
Female
Humans
Intubation
Intubation - instrumentation
Intubation - methods
Lidocaine
Lidocaine - administration & dosage
Local anesthesia
Main
Main Article
Male
Middle Aged
Nasolacrimal Duct - surgery
Patients
Prolapse
Quality of life
Silicones
Surgery
Suture Techniques
Sutures
Citations: Items that this one cites
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Description
Summary:A common complication of bicanalicular intubation is dislocation of the silicone tube. Eleven patients with prolapsed silicone tubes who had undergone bicanalicular nasal intubation were injected with a 2 per cent lidocaine solution to infiltrate the lacrimal duct mucosa. A memory wire probe was used to pull a 4-0 suture through the lacrimal passage retrogradely, allowing the suture to grab the silicone tube. Paraffin oil was applied to the contact part of the rope and the silicone tube, then the distal end of the silk thread was removed from the nostril until the tube was pulled into place. The prolapsed silicone tubes were restored by surgery in nine patients, with the drainage tube in the correct position in the eye and the lacrimal duct irrigation unobstructed. The optimisations made in this study are considered effective adjustments of reduction surgery for a prolapsed silicone tube.
ISSN:0022-2151
1748-5460
1748-5460
DOI:10.1017/S0022215123001706