Advertisement

Canalicular laceration repair with a novel bicanalicular silicone tube

  • Weihao Cai
    Affiliations
    Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong Province, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Zeyi Li and Yongdong Lin contributed equally to the work presented here and regarded as corresponding authors.
    Zeyi Li
    Footnotes
    1 Zeyi Li and Yongdong Lin contributed equally to the work presented here and regarded as corresponding authors.
    Affiliations
    Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong Province, People's Republic of China
    Search for articles by this author
  • Jihui Xie
    Affiliations
    Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong Province, People's Republic of China
    Search for articles by this author
  • Wenjuan Lv
    Affiliations
    Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong Province, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Zeyi Li and Yongdong Lin contributed equally to the work presented here and regarded as corresponding authors.
    Yongdong Lin
    Correspondence
    Corresponding author at: Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Dong xia Road, Shantou, Guangdong Province, People's Republic of China.
    Footnotes
    1 Zeyi Li and Yongdong Lin contributed equally to the work presented here and regarded as corresponding authors.
    Affiliations
    Joint Shantou International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou, Guangdong Province, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Zeyi Li and Yongdong Lin contributed equally to the work presented here and regarded as corresponding authors.
Published:August 23, 2022DOI:https://doi.org/10.1016/j.bjps.2022.08.055

      Summary

      Purpose

      This study aimed to investigate the efficacy and safety of canalicular laceration repair using a novel bicanalicular silicone tube.

      Methods

      Retrospective and consecutive patients who underwent canalicular laceration repair using novel Runshi-RS bicanalicular silicone stents from January 2020 to February 2021 were included. The stent was placed for 3 months, and patients were followed up for more than 3 months after extubation. Demographics, causes of eyelid injuries, placement time and position of stent, and surgical outcomes at follow-up were recorded. Anatomical success was evaluated by diagnostic probing and irrigation of lacrimal passage, while functional success was evaluated by the patient's subjective symptoms of epiphora.

      Results

      This study included 43 patients with canalicular laceration. The median age was 43 years (3–75 years). The average duration of stent implantation was 12.9 weeks, and the follow-up time was 8.8 months. No complications were observed in any patients during operation and follow-up. After extubation, irrigation of the lacrimal passage in 43 eyes showed no obstruction, and the anatomical success rate was 100%. Overall, 39 patients (90.7%) had no subjective symptoms of epiphora. All patients got good cosmetic results. Furthermore, subgroup classification showed deep laceration group (distance from laceration to punctum>5 mm) accounted for 51.2%, and the functional success rate of the deep laceration group was lower than that of the shallow laceration group.

      Conclusion

      Runshi-RS bicanalicular silicone stent achieved good anatomical (100%) as well as functional (90.7%) success and good cosmetic results (100%) in patients with canalicular laceration repair.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Herzum H.
        • Holle P.
        • Hintschich C.
        [Eyelid injuries: epidemiological aspects].
        Ophthalmologe. 2001; 98: 1079-1082
        • Ducasse A.
        • Arndt C.
        • Brugniart C.
        • Larre I.
        [Lacrimal traumatology].
        J Fr Ophtalmol. 2016; 39: 213-218
        • Hing S.J.
        A retrospective study of lacrimal canaliculus injuries in Auckland.
        Trans Ophthalmol Soc N Z. 1984; 36: 72-73
        • Romano P.E.
        Single silicone intubation for repair of single canaliculus laceration.
        Ann Ophthalmol. 1986; 18: 112-113
        • Reifler D.M.
        Management of canalicular laceration.
        Surv Ophthalmol. 1991; 36: 113-132
        • Wu S.Y.
        • Ma L.
        • Chen R.J.
        • Tsai Y.J.
        • Chu Y.C.
        Analysis of bicanalicular nasal intubation in the repair of canalicular lacerations.
        Jpn J Ophthalmol. 2010; 54: 24-31
        • Walter W.L.
        The use of the pigtail probe for silicone intubation of the injured canaliculus.
        Ophthalmic Surg. 1982; 13: 488-492
        • Maheshwari R.D.
        • Maheshwari M.
        Annular intubation with pigtail probe for canalicular lacerations.
        Indian J Ophthalmol. 2020; 68: 2166-2169
        • Kaufman L.M.
        • Guay-Bhatia L.A.
        Monocanalicular intubation with Monoka tubes for the treatment of congenital nasolacrimal duct obstruction.
        Ophthalmology. 1998; 105: 336-341
        • Naik M.N.
        • Kelapure A.
        • Rath S.
        • Honavar S.G.
        Management of canalicular lacerations: epidemiological aspects and experience with Mini-Monoka monocanalicular stent.
        Am J Ophthalmol. 2008; 145: 375-380
        • Dresner S.C.
        • Codere F.
        • Brownstein S.
        • Jouve P.
        Lacrimal drainage system inflammatory masses from retained silicone tubing.
        Am J Ophthalmol. 1984; 98: 609-613
        • Chow S.-.C.
        • Shao J.
        • Wang H.
        • Lokhnygina Y.
        Sample Size Calculations in Clinical Research.
        3rd Ed. Taylor & Francis, Boca Raton2017
        • Munk P.L.
        • Lin D.T.
        • Morris D.C.
        Epiphora: treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drainage apparatus.
        Radiology. 1990; 177: 687-690
        • Jordan D.R.
        • Ziai S.
        • Gilberg S.M.
        • Mawn L.A.
        Pathogenesis of canalicular lacerations.
        Ophthalmic Plast Reconstr Surg. 2008; 24: 394-398
        • Kennedy R.H.
        • May J.
        • Dailey J.
        • Flanagan J.C.
        Canalicular laceration. An 11-year epidemiologic and clinical study.
        Ophthalmic Plast Reconstr Surg. 1990; 6: 46-53
        • Bai F.
        • Tao H.
        • Zhang Y.
        • et al.
        Old canalicular laceration repair: a retrospective study of the curative effects and prognostic factors.
        Int J Ophthalmol. 2017; 10: 902-907
        • Dortzbach R.K.
        • Angrist R.A.
        Silicone intubation for lacerated lacrimal canaliculi.
        Ophthalmic Surg. 1985; 16: 639-642
        • Jordan D.R.
        Monocanalicular lacerations: to reconstruct or not?.
        Can J Ophthalmol. 2002; 37: 245-246
        • Lin C.H.
        • Wang C.Y.
        • Shen Y.C.
        • Wei L.C.
        Clinical characteristics, intraoperative findings, and surgical outcomes of canalicular laceration repair with monocanalicular stent in Asia.
        J Ophthalmol. 2019; 20195872485
        • Anastas C.N.
        • Potts M.J.
        • Raiter J.
        Mini Monoka silicone monocanalicular lacrimal stents: subjective and objective outcomes.
        Orbit. 2001; 20: 189-200
        • Spinelli H.M.
        • Shapiro M.D.
        • Wei L.L.
        • Elahi E.
        • Hirmand H.
        The role of lacrimal intubation in the management of facial trauma and tumor resection.
        Plast Reconstr Surg. 2005; 115: 1871-1876
        • Cho S.H.
        • Hyun D.W.
        • Kang H.J.
        • Ha M.S.
        A simple new method for identifying the proximal cut end in lower canalicular laceration.
        Korean J Ophthalmol. 2008; 22: 73-76
        • Zhang M.
        • Li B.
        • Zhang N.
        The Study of a New Modified Bicanalicular Intubation for the Repairment of Traumatic Canalicular Laceration.
        J Ophthalmol. 2019; 20198435185
        • Snead J.W.
        • Rathbun J.E.
        • Crawford J.B.
        Effects of the silicone tube on the canaliculus: an animal experiment.
        Ophthalmology. 1980; 87: 1031-1036
        • Doane M.G.
        Blinking and the mechanics of the lacrimal drainage system.
        Ophthalmology. 1981; 88: 844-851
        • Drnovsek-Olup B.
        • Beltram M.
        Trauma of the lacrimal drainage system: retrospective study of 32 patients.
        Croat Med J. 2004; 45: 292-294
        • Liang T.
        • Zhao K.X.
        • Zhang L.Y.
        A clinical application of laser direction in anastomosis for inferior canalicular laceration.
        Chin J Traumatol. 2006; 9: 34-37
        • Conlon M.R.
        • Smith K.D.
        • Cadera W.
        • Shum D.
        • Allen L.H.
        An animal model studying reconstruction techniques and histopathological changes in repair of canalicular lacerations.
        Can J Ophthalmol. 1994; 29: 3-8