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Publications (3)0 Total impact

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    ABSTRACT: Congenital lachrymal obstruction is a frequent motive of consultation. Endoscopic control in the inferior meatus of the nostril allows to realize surgical controlled procedures. The aim of the study is to analyze the result obtained in the treatment of congenital obstruction of the lachrymal duct by monocanalicular intubation with Monoka and endoscopic control in children who had failed two lachrymal system probings. Between October 2004 and September 2008 this technique was performed in a prospective study on 36 patients with congenital nasolacrimal obstruction who had failed two lachrymal system probings. The mean age was 36.2 months (range 12-66 months). Patients were followed at 6 weeks, 3 months and 6 months, with clinical evaluation by Munk's score and ophthalmologic exam using dye disappearance test. Success was defined as complete resolution of signs and symptoms (Munk 0) and no fluorescein remaining in dye disappearance test (grade 0). The procedure was successful in 91.66% of the cases and acceptable in 8.33%. We have not found any complication or side effects, and not further procedures have been needed on any patient. Balloon dachryoplasty with monocanalicular intubation under endoscopic control is a safe, easy to perform and effective surgical technique for the treatment of congenital lachrymal obstruction with two previous failed lachrymal system probings.
    Acta Otorrinolaringológica Española 01/2009; 60(6):409-14.
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    ABSTRACT: To describe and assess a surgical technique for cases of complete bicanalicular lachrymal destruction by means of the endoscopic insertion use of the Jones tube with a diode laser to study functionality and complications. A descriptive study of a case series with 24 consecutive patients with complete bicanalicular obstruction who underwent conjunctivodacryocystorhinostomy with diode laser. The surgery time, intra-operative and post-operative complications, long-term patency, and need for secondary revision were evaluated. Twenty-four consecutive patients were included in the study. All surgical procedures were successfully performed without significant complications. Average operating time was 15 minutes. The length of the tubes used ranged from 17 to 26 mm. Patients were evaluated at 24 hours, 3 weeks, 3 months, and 6 months and then every 6 months. The most frequent post-surgical complication was the downward migration of the tube towards the nasal fossa (37.5%). Secondary intervention was performed in 6 patients. Success was demonstrated using the fluoresceinic staining test under endoscopic monitoring and represented 37.5% after the initial surgery and 50% including revision surgery. Laser-guided endoscopic intubation is a speedy and accurate surgical procedure that is well-tolerated during the operation and leaves no scar on the skin surface. However, it is associated with a considerable number of post-surgical complications.
    Acta Otorrinolaringológica Española 02/2008; 59(1):11-5.
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    ABSTRACT: Objective To describe and assess a surgical technique for cases of complete bicanalicular lachrymal destruction by means of the endoscopic insertion use of the Junes tube with a diode laser to study functionality and complications. Patients and method A descriptive study of a case series with 24 consecutive patients with complete bicanalicular obstruction who underwent conjunctivodacryocystorhinostomy with diode laser. The surgery time, intra-operative and post-operative complications, long-term patency, and need for secondary revision were evaluated. Results Twenty-four consecutive patients were included in the study. All surgical procedures were successfully performed without significant complications. Average operating time was 15 minutes. The length of the tubes used ranged from 17 to 26 mm. Patients were evaluated at 24 hours, 3 weeks, 3 months, and 6 months and then every 6 months. The most frequent post-surgical complication was the downward migration of the tube towards the nasal fossa (37.5 %). Secondary intervention was performed in 6 patients. Success was demonstrated using the fluoresceinic staining test under endoscopic monitoring and represented 37.5 % after the initial surgery and 50 % including revision surgery. Conclusions Laser-guided endoscopic intubation is a speedy and accurate surgical procedure that is well-tolerated during the operation and leaves no scar on the skin surface. However, it is associated with a considerable number of post-surgical complications.
    Acta Otorrinolaringológica Española. 01/2008; 59(1).