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Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis

As a rare and often misdiagnosed disease of the lacrimal apparatus, only limited data exist on long-term outcomes of surgical methods for the treatment of primary canaliculitis. The aim of this study was to evaluate canaliculotomy with silicone tube intubation (STI) as a surgical procedure for canal...

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Autores principales: Storp, Jens Julian, Zimmermann, Julian Alexander, Esser, Eliane Luisa, Leclaire, Martin Dominik, Eter, Nicole, Alnawaiseh, Maged, Merté, Ralph-Laurent, Mihailovic, Nataša
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9698917/
https://www.ncbi.nlm.nih.gov/pubmed/36431305
http://dx.doi.org/10.3390/jcm11226830
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author Storp, Jens Julian
Zimmermann, Julian Alexander
Esser, Eliane Luisa
Leclaire, Martin Dominik
Eter, Nicole
Alnawaiseh, Maged
Merté, Ralph-Laurent
Mihailovic, Nataša
author_facet Storp, Jens Julian
Zimmermann, Julian Alexander
Esser, Eliane Luisa
Leclaire, Martin Dominik
Eter, Nicole
Alnawaiseh, Maged
Merté, Ralph-Laurent
Mihailovic, Nataša
author_sort Storp, Jens Julian
collection PubMed
description As a rare and often misdiagnosed disease of the lacrimal apparatus, only limited data exist on long-term outcomes of surgical methods for the treatment of primary canaliculitis. The aim of this study was to evaluate canaliculotomy with silicone tube intubation (STI) as a surgical procedure for canaliculitis in a long-term follow-up setting. A total of 25 eyes of 25 patients with canaliculitis treated with canaliculotomy and STI at the University of Muenster Medical Center, Germany, from 2015 to 2021 were included in this study. Data analysis involved clinical symptoms, complications, duration of STI and rate of recurrence. Mean patient age was 63.7 ± 17.2 years. After a follow-up time of 3.7 ± 1.5 years, 88% of cases showed no recurrence of inflammation. The mean duration of STI was 5.8 ± 3.4 months. Complications such as post-operative hemorrhage, spread of infection, obstruction of the canaliculus or migration of the STI were not observed in any of the patients. However, tube dislocation occurred in four cases, a pyogenic granuloma in two cases and a fistula formation in one case. The management of canaliculitis by canaliculotomy with STI showed very good postoperative outcomes and low complication rates in the long-term and can therefore be considered a safe and successful surgical approach.
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spelling pubmed-96989172022-11-26 Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis Storp, Jens Julian Zimmermann, Julian Alexander Esser, Eliane Luisa Leclaire, Martin Dominik Eter, Nicole Alnawaiseh, Maged Merté, Ralph-Laurent Mihailovic, Nataša J Clin Med Article As a rare and often misdiagnosed disease of the lacrimal apparatus, only limited data exist on long-term outcomes of surgical methods for the treatment of primary canaliculitis. The aim of this study was to evaluate canaliculotomy with silicone tube intubation (STI) as a surgical procedure for canaliculitis in a long-term follow-up setting. A total of 25 eyes of 25 patients with canaliculitis treated with canaliculotomy and STI at the University of Muenster Medical Center, Germany, from 2015 to 2021 were included in this study. Data analysis involved clinical symptoms, complications, duration of STI and rate of recurrence. Mean patient age was 63.7 ± 17.2 years. After a follow-up time of 3.7 ± 1.5 years, 88% of cases showed no recurrence of inflammation. The mean duration of STI was 5.8 ± 3.4 months. Complications such as post-operative hemorrhage, spread of infection, obstruction of the canaliculus or migration of the STI were not observed in any of the patients. However, tube dislocation occurred in four cases, a pyogenic granuloma in two cases and a fistula formation in one case. The management of canaliculitis by canaliculotomy with STI showed very good postoperative outcomes and low complication rates in the long-term and can therefore be considered a safe and successful surgical approach. MDPI 2022-11-18 /pmc/articles/PMC9698917/ /pubmed/36431305 http://dx.doi.org/10.3390/jcm11226830 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Storp, Jens Julian
Zimmermann, Julian Alexander
Esser, Eliane Luisa
Leclaire, Martin Dominik
Eter, Nicole
Alnawaiseh, Maged
Merté, Ralph-Laurent
Mihailovic, Nataša
Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis
title Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis
title_full Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis
title_fullStr Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis
title_full_unstemmed Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis
title_short Long-Term Outcomes of Canaliculotomy with Silicone Tube Intubation in the Management of Canaliculitis
title_sort long-term outcomes of canaliculotomy with silicone tube intubation in the management of canaliculitis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9698917/
https://www.ncbi.nlm.nih.gov/pubmed/36431305
http://dx.doi.org/10.3390/jcm11226830
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