We describe an infant with respiratory distress due to bilateral dacryocystoceles and dacryocystitis who was successfully treated with urgent bilateral endoscopic marsupialization. A male infant was brought to our outpatient department 7 days after birth, with red, acutely inflamed swellings near the medial canthal area of both eyes. From birth, there had been bluish swelling near the medial ca...

BACKGROUND To evaluate the clinical outcome of primary endonasal laser assisted dacryocystorhinostomy (ENL-DCR) using the potassium-titanyl-phosphate laser. METHODS We retrospectively reviewed all primary ENL-DCRs performed within a period of twelve months by the same combined Ophthalmology and Otorhinolaringology team in Freeman Hospital, Newcastle upon Tyne, UK. The main outcome measure for...

Background: A purposely designed wire reinforced silicone tube is available for tracheal intubation through intubating laryngeal mask airway (ILMA). However, this tube is expensive and not always available. Hence, cheaper and readily available alternatives such as conventional polyvinyl chloride (PVC) endotracheal tube should be evaluated for intubation through ILMA. Methods: After informed con...

PURPOSE To analyze the success rate and complications in patients with lacrimal obstruction submitted to surgeries. METHODS The data of patients operated in the "Hospital do Servidor Público Estadual of São Paulo" were analyzed. The lacrimal intubation was performed with a silicone tube, removed after 8 weeks. Surgeries were considered successful in those cases where patients had no postopera...

PURPOSE To investigate the long-term follow-up outcomes of nonlaser intranasal endoscopic dacryocystorhinostomy (IEDCR) using a nasal endoscope and conventional surgical instruments available in all operating rooms, the advantages of this technique, and the usability and suitability of conventional instruments. METHODS Twenty-seven IEDCRs were performed in combination with bicanalicular silic...

Results The mean intubation time using IGI was shorter (p < 0.017) than that of IBRI and MCL in both endotracheal tubes (17.6 vs. 29.3 vs. 20.2 in conventional PVC tube; 14.6 vs. 27.4 vs. 19.9 in wire-reinforced silicone tube; sec). There were no significant (p > 0.05) differences between conventional PVC and wire-reinforced silicone tube for each intubation technique. The cumulative success ra...

External dacryocystorhinostomy (DCR) is the gold standard surgical technique for the treatment of nasolacrimal duct obstruction (1). Since its introduction by Gibbs in 1967, intubation with silicone tubes has been widely used in lacrimal duct surgery (2). However, effect of silicone intubation on patency of lacrimal system during external DCR in cases of primary nasolacrimal duct obstruction (N...

purpose: to evaluate the nature of obstruction in difficult irrigation after probing for congenital nasolacrimal duct obstruction (cnldo). methods: in a prospective interventional study, the nature of obstruction in 75 eyes of 68 children aged between 12 and 23 months with cnldo who had difficult irrigation after probing was evaluated. all patients underwent monocanalicular silicone intubation....

Adhesion between the upper and lower punctum is described after dacryocystorhinostomy with silicone stent intubation. The cause is attributed to trauma at the punctal openings and a tight silicone stent loop. Advice is given on how to avoid the complication.