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Abstract ID: 24-110
Treatment for Functional Failure after Primary Endonasal Dacryocystorhinostomy
SUK-WOO YANG
Purpose
To analyze the results of secondary silicone tube insertion in patients exhibiting persistent epiphora despite acquiring
anatomical patency after primary endonasal dacryocystorhinostomy.
Methods
We conducted a retrospective review of 23 patients (37 eyes) seen at our department from December 2006 to April
2018 for primary endonasal dacryocystorhinostomy. These patients exhibited anatomical patency but experienced persistent
epiphora, requiring secondary silicone tube re-insertion
Results
The average age at reintubation with a silicone tube was 59.8 years, and the average follow-up was 14.8 months. The
interval between the primary endonasal dacryocystorhinostomy and secondary silicone tube re-insertion was approximately
24.5 months. The silicone tube re-insertion, was successful for 33 of 37 eyes with four eyes exhibiting partial improvement. Thus,
there were no failed outcomes based on subjective symptoms.
Conclusion
After primary endonasal dacryocystorhinostomy, when tearing symptoms persist despite no evidence of anatomical problems, our results show that secondary silicone tube re-insertion is a safe and effective procedure for patients experiencing functional failure.
Additional Authors
Hye-Yeon Yoon – Seoul st.Mary’s Hospital/The Catholic University of Korea