The role of nasolacrimal intubation in the management of childhood epiphora
Nasolacrimal intubation has been advocated to obviate the need for dacryocystorhinostomy (DCR) for childhood epiphora which fails to resolve despite apparently successful probings. Twenty-eight intubations were attempted on children falling into this category. Of these, 25 were anatomically successf...
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| Veröffentlicht in: | Eye (London) 1993-01, Vol.7 (6), p.760-762 |
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| creator | Aggarwal, R K Misson, G P Donaldson, I Willshaw, H E |
| description | Nasolacrimal intubation has been advocated to obviate the need for dacryocystorhinostomy (DCR) for childhood epiphora which fails to resolve despite apparently successful probings. Twenty-eight intubations were attempted on children falling into this category. Of these, 25 were anatomically successful intubations (3 having had to be abandoned because of difficulties in retrieving the silicone tubes from the nose). Twenty patients (80%) had complete resolution of symptoms, 2 (8%) had improvement of symptoms such that no further intervention was necessary and 3 (12%) proceeded to DCR. A greater likelihood of a good outcome was seen if the tubes were left
in situ
for 6 months or more. We suggest that primary nasolacrimal intubation (that is nasolacrimal intubation without DCR) should be the next step in the management of childhood epiphora which fails to resolve after two probings. This approach may avoid a DCR in over 80% of children. |
| doi_str_mv | 10.1038/eye.1993.177 |
| format | Article |
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in situ
for 6 months or more. We suggest that primary nasolacrimal intubation (that is nasolacrimal intubation without DCR) should be the next step in the management of childhood epiphora which fails to resolve after two probings. This approach may avoid a DCR in over 80% of children.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.1993.177</identifier><identifier>PMID: 8119427</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Biological and medical sciences ; Child ; Child, Preschool ; Humans ; Infant ; Intubation - methods ; Laboratory Medicine ; Lacrimal Apparatus ; Lacrimal Apparatus Diseases - therapy ; Medical sciences ; Medicine ; Medicine & Public Health ; Nose ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Surgical Oncology ; Treatment Outcome</subject><ispartof>Eye (London), 1993-01, Vol.7 (6), p.760-762</ispartof><rights>Royal College of Ophthalmologists 1993</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-afee24e33109bb02025a6ac3188798d38d3c2654b1f9f9c4fde11a84499cd5073</citedby><cites>FETCH-LOGICAL-c416t-afee24e33109bb02025a6ac3188798d38d3c2654b1f9f9c4fde11a84499cd5073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/eye.1993.177$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/eye.1993.177$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3885511$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8119427$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aggarwal, R K</creatorcontrib><creatorcontrib>Misson, G P</creatorcontrib><creatorcontrib>Donaldson, I</creatorcontrib><creatorcontrib>Willshaw, H E</creatorcontrib><title>The role of nasolacrimal intubation in the management of childhood epiphora</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Nasolacrimal intubation has been advocated to obviate the need for dacryocystorhinostomy (DCR) for childhood epiphora which fails to resolve despite apparently successful probings. Twenty-eight intubations were attempted on children falling into this category. Of these, 25 were anatomically successful intubations (3 having had to be abandoned because of difficulties in retrieving the silicone tubes from the nose). Twenty patients (80%) had complete resolution of symptoms, 2 (8%) had improvement of symptoms such that no further intervention was necessary and 3 (12%) proceeded to DCR. A greater likelihood of a good outcome was seen if the tubes were left
in situ
for 6 months or more. We suggest that primary nasolacrimal intubation (that is nasolacrimal intubation without DCR) should be the next step in the management of childhood epiphora which fails to resolve after two probings. This approach may avoid a DCR in over 80% of children.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Humans</subject><subject>Infant</subject><subject>Intubation - methods</subject><subject>Laboratory Medicine</subject><subject>Lacrimal Apparatus</subject><subject>Lacrimal Apparatus Diseases - therapy</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nose</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1r3DAQBmBRUtJN2luuAR9KTvFWow_bOpaQftBALwn0JsbyOOtgS1vJPuTfR2aXvQUEErwPI-Zl7Ar4FrhsvtErbcEYuYW6_sA2oOqq1EqrM7bhRvNSCPHvE7tI6YXzHNb8nJ03AEaJesP-PO6oiGGkIvSFxxRGdHGYcCwGPy8tzkPw-VnMmU3o8Zkm8vOK3W4Yu10IXUH7Yb8LET-zjz2Oib4c70v29OP-8e5X-fD35--77w-lU1DNJfZEQpGUwE3bcsGFxgqdhKapTdPJfJyotGqhN71xqu8IABuljHGd5rW8ZDeHufsY_i-UZjsNydE4oqewJFtXQoGuZIa3B-hiSClSb_frbvHVArdrdzZ3Z9fubO4u8-vj3KWdqDvhY1k5_3rMMTkc-4jeDenEZNNoDZBZeWApJ_6Zon0JS_S5kfe-LQ7e47xEOs3LaDUreQNsaJDD</recordid><startdate>19930101</startdate><enddate>19930101</enddate><creator>Aggarwal, R K</creator><creator>Misson, G P</creator><creator>Donaldson, I</creator><creator>Willshaw, H E</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930101</creationdate><title>The role of nasolacrimal intubation in the management of childhood epiphora</title><author>Aggarwal, R K ; Misson, G P ; Donaldson, I ; Willshaw, H E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-afee24e33109bb02025a6ac3188798d38d3c2654b1f9f9c4fde11a84499cd5073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Humans</topic><topic>Infant</topic><topic>Intubation - methods</topic><topic>Laboratory Medicine</topic><topic>Lacrimal Apparatus</topic><topic>Lacrimal Apparatus Diseases - therapy</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nose</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aggarwal, R K</creatorcontrib><creatorcontrib>Misson, G P</creatorcontrib><creatorcontrib>Donaldson, I</creatorcontrib><creatorcontrib>Willshaw, H E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aggarwal, R K</au><au>Misson, G P</au><au>Donaldson, I</au><au>Willshaw, H E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of nasolacrimal intubation in the management of childhood epiphora</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>1993-01-01</date><risdate>1993</risdate><volume>7</volume><issue>6</issue><spage>760</spage><epage>762</epage><pages>760-762</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Nasolacrimal intubation has been advocated to obviate the need for dacryocystorhinostomy (DCR) for childhood epiphora which fails to resolve despite apparently successful probings. Twenty-eight intubations were attempted on children falling into this category. Of these, 25 were anatomically successful intubations (3 having had to be abandoned because of difficulties in retrieving the silicone tubes from the nose). Twenty patients (80%) had complete resolution of symptoms, 2 (8%) had improvement of symptoms such that no further intervention was necessary and 3 (12%) proceeded to DCR. A greater likelihood of a good outcome was seen if the tubes were left
in situ
for 6 months or more. We suggest that primary nasolacrimal intubation (that is nasolacrimal intubation without DCR) should be the next step in the management of childhood epiphora which fails to resolve after two probings. This approach may avoid a DCR in over 80% of children.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>8119427</pmid><doi>10.1038/eye.1993.177</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; SpringerLink Journals - AutoHoldings |
| subjects | Biological and medical sciences Child Child, Preschool Humans Infant Intubation - methods Laboratory Medicine Lacrimal Apparatus Lacrimal Apparatus Diseases - therapy Medical sciences Medicine Medicine & Public Health Nose Ophthalmology Pharmaceutical Sciences/Technology Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surgical Oncology Treatment Outcome |
| title | The role of nasolacrimal intubation in the management of childhood epiphora |
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