ISSN: 1300-0365
Dil: Türkçe
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Silicone Intubation With The Ritleng Method In Congenitalnasolacrimal Duct Obstruction
Bülent YAZICI*, Muhsin SALKAYA**, Ahmet ÖZMEN***, Haluk ERTÜRK****
* Yrd.Doç.Dr., Uludağ Üniversitesi Tıp Fakültesi Göz AD,** Araş.Gör.Dr., Uludağ Üniversitesi Tıp Fakültesi Göz AD,*** Doç.Dr., Uludağ Üniversitesi Tıp Fakültesi Göz AD,**** Prof.Dr., Uludağ Üniversitesi Tıp Fakültesi Göz AD, BURSA
Purpose: To evaluate the silicone intubation procedure performed by Ritleng method in congenital nasolacrimal duct obstruction in terms of surgical technique and clinical results.Materials and Method: Bicanalicular silicone intubation was performed by using the Ritleng method in 21 eyes of 18 patients with congenital nasolacrimal duct obstruction. The mean age of the patients was 30 months (range, 9 months to 7.5 years). The Ritleng metal probe was advanced through the obstruction and into the inferior meatus. The prolene leader was introduced into the probe and advanced into the nasal cavity. The prolene leader emerged from the nose spontaneously or it was pulled out by using a metal hook. The same procedure was repeated through the other punctum. The tubes were fixed to the lateral nasal wall by a suture. Silicone tube removal was planned three months after this procedure. The mean follow-up time was 8.8 months (range 2 to 17 months) after tube removal.Results: Silicone intubation lasted 23 minutes, as avarege, (range, 15 to 35 minutes) for each eye. Both prolene leaders spontaneously emerged from the nose in only 2 eyes (10%). The use of hook was required in the other eyes. The most frequent postoperative complication was prolapse of the silicone tube in the medial canthal region and it occured in 5 eyes (24%). After tube removal, signs and symptoms of nasolacrimal duct obstruction was resolved completely in 19 eyes (90%), but not in two eyes.Conclusion: The Ritleng method makes silicone intubation procedure easier in children. In this method, the prolene leaders usually do not spontaneously come out from the nose. Although the use of metal hook causes intranasal trauma, it does not effect the treatment results negativelyKeywords: Congenital nasolacrimal duct obstruction, Ritleng method, silicone intubationTurkiye Klinikleri J Ophthalmol 2002, 11:86-92
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