새로운 두줄의 실리콘 튜브 환형고리연결술을 통한 눈물소관

Abstract

Abstract

The New Bicanalicular Double Silicone Encirclage Technique in Canalicular Laceration Reconstruction

Yongju Song Advisor : Prof. Seong-won Yang M.D./PhD. Department of Medicine Graduate School of Chosun University

Purpose : To introduce the new bicanalicular double silicone encirclage and to compare the result of conventional reconstruction methods in canalicular laceration.

Subject and Method : Sixty-eight patients undergoing surgical repair of canalicular lacerations were retrospectively reviewed. Thirty-two patients were treated with mono silicone tube (Group A) and 36 patients were treated with bicanalicular double silicone tube encirclage (Group B). Two groups were compared with patient characteristics, the timing of management, number of suture knot, time of searching proximal cut end, time of intubation at canaliculus, and success rates. Other variable factors were analysed to know the effect of the surgical outcome.

Result : The Anatomical and functional success rate of Group A were 81% and 81%. The Anatomical and functional success rate of Group B were 97% and 97%. There was significant difference of success rate (p=0.046 and p=0.046). The time of searching proximal cut end and intubation time of Group B(7.83±3.37 and 22.53±4.63) were significantly shorter compared to the time of Group A(35.06±16.50 and 53.28±16.16), ( p<0.001 and p<0.001). There were no differences in age, sex, the timing of management and number of suture knot. The success rate was significantly different by number of tubes. However, there were no differences in timing of management, type of intubated tubes, operation method, and number of suture.

Conclusion : The new bicanalicular double silicone encirclage technique using pigtail probe is time-saving, easy, and a more effective technique.