Treatment of Traumatic Canalicular Laceration at Prachuapkhirikhan Hospital
Keywords:
canalicular laceration, canalicular stentAbstract
Background : Traumatic canalicular laceration is a common problem associated with eyelid and maxillofacial trauma which need prompt and proper management to prevent epiphora and irritation. There are many operative techniques and kinds of stent for treatment canalicular laceration.
Objectives : To evaluate incidence and surgical results in treatment of canalicular lacerations at Prachuapkhirikhan Hospital.
Study design : Descriptive retrospective study.
Method : The medical records of patients who had canalicular laceration at Prachuapkhirikhan Hospital during 1 October 2010-30 September 2014 were reviewed. The demographic data; age, sex, laterality, location of canaliculi, cause of injury, repair duration from injury, surgical technique, duration of stent placement, surgical result, and complications were evaluated.
Results : Among 54 patients, 39 patients (72.22%) were male and 15 patients (27.78%) were female. Mean age was 38.85 years (ranged 1 to 80 years) Causes of injuries were from motorcycle accidents in 55.56%. All patients were treated with probing and using 41 cutdown tubes 2.5 Fr and 13 medicuts as monocanalicular stents. At the final follow up, all patients had good results, none of them had epiphora after removal of stents at 3 months post operation.
Conclusion : Treatment of canalicular laceration by using probe and cutdown tube 2.5 Fr as monocanalicular stent in Prachuapkhirikhan Hospital is satisfactory.
References
2. Jordan DR, Ziai S, Gilberg SM, et al. Pathogenesis of canalicular lacerations. Ophthal Plast Reconstr Surg 2008;24(5):394-8.
3. Nerad JA. Oculoplastic surgery: the requisites in ophthalmology. St. Louis: Mosby; 2001.
4. Ho T, Lee V. National survey on the management of lacrimal canalicular injury in the United Kingdom. Clin Experiment Ophthalmol 2006;34(1):39-43.
5. Forbes BJ, Katowitz WR, Binenbaum G. Pediatric canalicular tear repairs –revisiting the pigtail probe. J AAPOS 2008;12(5):518-20.
6. Liang T, Zhao GQ, Li YL, et al. Efficiency and therapeutic effect of modified pigtail probe in anastomosing lacerated lacrimal canaliculus. Chin J Traumatol 2009;12(2):87-91.
7. Fayet B, Ruban JM. Monocanalicular lacrimal pathway intubation with a stable punctal attachment. In: Guthoff R, Katowitz JA, editors. Oculoplastics and orbit. New York: Springer; 2006. p. 83-8.
8. Naik MN, Kelapure A, Rath S, et al. Management of canalicular lacerations : epidemiological aspects and experience with Mini-Monoka monocanalicular stent. Am J Ophthalmol 2008;145(2):375-80.
9. Della Rocca DA, Ahmad S, Preechawi P, et al. Nasolacrimal System Injuries. In: Weber RK, Keerl R, Schaefer SD, et al, editors. Atlas of lacrimal surgery. New York: Springer; 2007. p. 91-103.
10. Wu SY, Ma L, Chen RJ, et al. Analysis of bicanalicular nasal intubation in the repair of canalicular lacerations. Jpn J Ophthalmol 2010;54(1):24-31.
11. Pan XJ, Mao A, Zhao GQ. Clinical effects of three types of silicone intubations in repairing lacerations of canaliculus. Chin J Traumatol 2009;12(3):173-6.
12. Orhan M, Govsa F, Saylam C. Anatomical details used in the surgical reconstruction of the lacrimal canaliculus: cadaveric study. Surg Radiol Anat 2009;31(10):745-53.
13. Landy JS, Slonim CB, Older JJ. Surgery of the punctum and canaliculus. In: Cohen AJ, Mercandetti M, Brazzo BG, editors. The lacrimal system. New York: Springer; 2006. p. 110-8.
14. Kriangsak Sirirak. A simple lacrimal drainage repair by three- stitch technique without stent in 28 patients at Prapokklao Hospital. Siriraj Med J 2009;61(3):139-42.
15. Weerasak Anutaungkoon. Outcome treatment of canalicular laceration in Khon Kaen hospital. Khon Kaen Med J 2008;32(2):139-46.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
