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At least 325 records · Page 18Linked to original sources
PubMed2006

[Early intubation of lacrimal duct in traumatic and operative lower eyelid loss and medial canthal region defects, with simultaneous reconstruction dressed by application of self constructed battlefield ophthalmic dressing].

The treatment of acquired, imperfect drainage of tears through the lacrimal duct system in the situation of medial canthal region defect (operative or traumatic), is an important part of clinical ophthalmology and reconstructive surgery. The multidisciplinary approach to the reconstruction of all soft tissues with use of early prosthetic reconstruction and lower canalicular intubation by use of silicone tube or simple nylon thread, is the theme of the paper. The lacrimal duct repair should be performed on primarily, as well as coverage or reconstruction of skin defect. The authors compared the efficiency of simple lower canalicular intubation with use of normal surgical thread or silicone tube, with immediate medial canthal region defect plastic reconstruction. Simultaneously, the original self-constructed special battlefield ocular dressing was tested in the analyzed cases, to determine whether it is the suitable or not, in the procedure. The results were estimated on the base of clinical criteria: degree of epiphora after 6/12 weeks (subjective and evaluated accordingly to Munk score), early lacrimal obstruction/stenosis, comfort/discomfort of patient, and utility of the military dressing (bad/good/very good). The proposed own method of simple use of nylon thread seems to be useful, particularly in traumatic damage of lower canaliculus associated with multilayer medial canthus soft tissues defects and facial bone structures impairment. In analyzed material, it was more comfortable for patients than silicone intubation and may be utilize in definitive reconstruction, as well as in temporary splinting of lacrimal system and creation of artificial lacrimal drainage through the lower canaliculus. It is useful at the battlefield conditions. The battlefield ocular dressing tested on was very high evaluated in traumatic cases and considered as good in neoplastic patients.

Adult↗
PubMed1991

Combined computed tomography and dacryocystography for complex lacrimal problems.

Two imaging modalities, computed tomography (CT) and dacryocystography (DCG), were combined to demonstrate the relationships between the lacrimal system and the surrounding soft-tissue structures. In selected cases, such as those involving severe facial trauma, midfacial tumours, significant sinus disease, or previous lacrimal, nasal or sinus surgery, this imaging technique may be useful in better evaluating the anatomy of the lacrimal system and planning a surgical approach.

Adult↗
PubMed1979

[Treatment of obstruction of the lacrimal ducts (author's transl)].

The present attitude towards the treatment of obstruction of the lacrimal ducts should be based on traditional methods, but modified to take into account recent advances which allow "modern surgery" to be applied. These new procedures are based on two relatively recent new acquisitions: 1) A precise knowledge of the physiology of the lacrimal pump, mainly due to the work of Lester T. Jones. It is important to know hen this pump has been destroyed as any attempt at repair is doomed to fail. We do not yet know how to reconstruct this pump. If minor damage has occurred however, attempts at repair operations may be successful. 2) Simplification of the operative procedure, both for dacryocystorhinostomies and lacodacryocystorhinostomies. Complex reconstructive procedures which often failed have been replaced by the application of a tube made of an inert material, and this is much simpler and gives much more constant results.

Constriction, Pathologic↗
PubMed1987

Dacryocystography: the technique and its role in the practice of ophthalmology.

Modern lacrimal tract imaging has most recently been enhanced by computerized digital subtraction techniques. Current standard dacryocystography technique includes the injection of a water-soluble agent and the use of topical anesthesia. In this article the dacryocystogram of the normal lacrimal system and those with various types of obstruction are presented.

Humans↗
PubMed1986

An investigation into the efficacy of probing the nasolacrimal duct as a treatment for epiphora in adults.

An investigation was conducted into the efficacy of probing the nasolacrimal duct as a method for treating epiphora in adults. Probing was performed on patients who had complete obstruction of the nasolacrimal duct. These patients comprised 62 per cent of the total incidence of epiphora observed during the study period. Following a single probing procedure, watering was subjectively improved in 52 per cent of cases. When patients who had a mucocoele or mucous regurgitation were excluded, the improvement rate increased to 75 per cent. A single probing procedure would appear to have been effective in producing some symptomatic improvement when limited in its use to patients who had complete obstruction of the nasolacrimal duct and when watering of the eye was the only symptom. Such patients accounted for 37 per cent of cases of epiphora.

Aged↗
PubMed1984

Nasolacrimal bone changes in diseases of the lacrimal drainage system.

The bone pieces removed from 71 patients who had undergone dacryocystorhinostomies (DCR) or canaliculodacryocystorhinostomies (CDCR) were examined pathologically. Nineteen percent of cases showed evidence of active bone remodeling, 23% had immature, woven bone present, and the remaining cases showed normal mature cortical and cancellous bone. There were no inflammatory changes found. The clinical histories of the patients were reviewed and related to the bone findings. The clinical applications of the bone changes are discussed.

Adolescent↗