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Type: Journal article
Title: Endonasal endoscopic assisted replacement of lacrimal drainage tubes
Author: Leibovitch, I.
Sheikh, I.
Selva-Nayagam, D.
Davis, G.
Wormald, P.
Malhotra, R.
Citation: Orbit: the international journal on orbital disorders, oculoplastic and lacrimal surgery, 2005; 24(3):191-194
Publisher: Taylor & Francis The Netherlands
Issue Date: 2005
ISSN: 0167-6830
Statement of
Igal Leibovich; Ijaz Sheikh; Dinesh Selva and Garry Davis; Peter J Wormald; Raman Malhotra
Abstract: <h4>Purpose</h4>To describe an endonasal endoscopic assisted replacement of migrated or lost Lester-Jones (LJ) tubes.<h4>Methods</h4>In three consecutive cases of LJ tube migration or loss and an absent obvious transconjunctival tract, a curved paediatric Lusk ball-probe was passed under endoscopic visualization to the conjunctival surface through the internal nasal osteum. The drainage tube was then passed over the tip of the probe and replaced by retracting the probe back into the nose.<h4>Results</h4>In all cases, the drainage tube was successfully replaced using an endonasal endoscopic assisted technique. None of the cases, done 1-7 weeks after tube migration or loss, required the use of a K-wire and trephine for tube re-insertion.<h4>Conclusion</h4>The conjunctivodacryocystorhinostomy tract appears to be retained following LJ tube migration or loss in selected cases. It can be accessed endonasally, allowing external tube replacement without the need for a repeat trephine.
Keywords: Humans
Foreign-Body Migration
Treatment Outcome
Prosthesis Implantation
Retrospective Studies
Middle Aged
Description: Copyright © 2005 Taylor & Francis Inc
DOI: 10.1080/01676830500182788
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Surgery publications

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