Silicone intubation with the Ritleng method in children with congenital nasolacrimal duct obstruction

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dc.contributor.authorYazıcı, Bülent
dc.contributor.authorAkarsu, Cengiz
dc.contributor.authorSalkaya, Muhsin
dc.date.accessioned2020-06-25T17:43:30Z
dc.date.available2020-06-25T17:43:30Z
dc.date.issued2006
dc.description35th Annual Meeting of the American-Society-of-Ophthalmic-Plastic-and-Reconstructive-Surgery -- OCT 23, 2004 -- New Orleans, LA
dc.descriptionYazici, Bulent/0000-0001-8889-1933
dc.description.abstractPurpose: To evaluate the technical properties and clinical efficacy of bicanalicular silicone intubation with the Ritleng method in children with congenital nasolacrimal duct obstruction. Methods. The Ritleng method was used for lacrimal intubation in 50 eyes of 42 consecutive patients (mean age, 37.3 months). All procedures were done by or under the supervision of one surgeon. The hollow Ritleng probe was inserted via the canaliculus into the inferior meatus. The polypropylene (Prolene) thread-guide, attached to the silicone tube, was advanced through the probe. Either the Prolene emerged from the nose spontaneously or it was retrieved using a hook without visualization. The tube ends were sutured to the nasal wall. Tube removal was planned for 3 months postoperatively. Resolution of signs and symptoms of lacrimal obstruction was assessed. The mean follow-up time was 18.1 months (range, 3 to 48 months). Results. The silicone tube was placed successfully in all eyes except 1 (98%). The mean procedure time was 26 minutes for each eye (range, 15 to 45 minutes). Both Prolene guides spontaneously emerged from the nose in only 8 eyes (16%). In the others, one or both Prolene guides were retrieved with a hook. Inadvertent tube dislodgement occurred in 21% of the eyes and required early tube removal. Success, ie, relief of signs and symptoms, was achieved in 86% of eyes. Conclusions:The Ritleng method of intubation for congenital nasolacrimal duct obstruction yields a high rate of success. Contrary to previous reports, our experience suggests that the surgeon must be prepared to retrieve the Prolene guide from the nose.en_US
dc.description.sponsorshipAmer Soc Ophthalm Plast & Reconstruct Surgen_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.jaapos.2006.02.011
dc.identifier.endpage332en_US
dc.identifier.issn1091-8531
dc.identifier.issue4en_US
dc.identifier.pmid16935232
dc.identifier.scopus2-s2.0-33747794609
dc.identifier.scopusqualityQ2
dc.identifier.startpage328en_US
dc.identifier.urihttps://doi.org10.1016/j.jaapos.2006.02.011
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3740
dc.identifier.volume10en_US
dc.identifier.wosWOS:000240459300009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMosby, Incen_US
dc.relation.ispartofJournal Of Aapos
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleSilicone intubation with the Ritleng method in children with congenital nasolacrimal duct obstructionen_US
dc.typeConference Object

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