Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/16713
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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
1744-5108
Statement of
Responsibility: 
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
Endoscopy
Treatment Outcome
Drainage
Dacryocystorhinostomy
Prosthesis Implantation
Retrospective Studies
Aged
Middle Aged
Male
Description: Copyright © 2005 Taylor & Francis Inc
DOI: 10.1080/01676830500182788
Appears in Collections:Aurora harvest 2
Surgery publications

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