A new lacrimal bypass tube fixation method to prevent tube displacement in conjunctivodacryocystorhinostomy (CDCR)

Minwook Chang, Se Hyun Baek, Tae Soo Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims: To evaluate the efficacy of a new lacrimal bypass tube fixation technique to the conjunctiva and caruncle, preventing postoperative displacement of the tube in conjunctivodacryocystorhinostomies (CDCRs). Methods: The authors conducted 52 CDCR procedures by a new tube fixation technique using a 6-0 prolene suture encircling the tube neck (encircling group). The suture was not removed during the follow-up period. Over the same period, the authors carried out 51 CDCRs with tube fixation using a 5-0 vicryl suture with the purse string procedure (purse string group) and 71 conventional CDCRs with tube fixation to the skin using a 6-0 nylon suture (control group). Postoperative complications, including dislodgement and tube length problems, were recorded. The three groups were statistically compared. Results: Among the 52 cases using the new fixation technique, tube malpositions, including extrusions, had developed in only four cases (7.7%) at 12 months after the operation. In the purse string and control groups, the same complications developed in 11 (21.6%) and 22 cases (31.0%), respectively. A statistically significant difference between these groups was detected (p=0.008). Other complications, such as conjunctival granulomas and tube obstruction, developed postoperatively in four cases (8.0%) in the encircling group, and this did not differ significantly from that in the other groups (p=0.193). Conclusions: The authors believe that this encircling fixation procedure can help in CDCRs for maintaining the location and orientation of the tube during the early postoperative period.

Original languageEnglish
Pages (from-to)674-678
Number of pages5
JournalBritish Journal of Ophthalmology
Volume96
Issue number5
DOIs
Publication statusPublished - 2012 May 1

Fingerprint

Tears
Sutures
Polyglactin 910
Control Groups
Polypropylenes
Conjunctiva
Granuloma
Postoperative Period
Neck
Skin

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

Cite this

A new lacrimal bypass tube fixation method to prevent tube displacement in conjunctivodacryocystorhinostomy (CDCR). / Chang, Minwook; Baek, Se Hyun; Lee, Tae Soo.

In: British Journal of Ophthalmology, Vol. 96, No. 5, 01.05.2012, p. 674-678.

Research output: Contribution to journalArticle

@article{01143a6fd51e4eda88ded71ef3d51a06,
title = "A new lacrimal bypass tube fixation method to prevent tube displacement in conjunctivodacryocystorhinostomy (CDCR)",
abstract = "Aims: To evaluate the efficacy of a new lacrimal bypass tube fixation technique to the conjunctiva and caruncle, preventing postoperative displacement of the tube in conjunctivodacryocystorhinostomies (CDCRs). Methods: The authors conducted 52 CDCR procedures by a new tube fixation technique using a 6-0 prolene suture encircling the tube neck (encircling group). The suture was not removed during the follow-up period. Over the same period, the authors carried out 51 CDCRs with tube fixation using a 5-0 vicryl suture with the purse string procedure (purse string group) and 71 conventional CDCRs with tube fixation to the skin using a 6-0 nylon suture (control group). Postoperative complications, including dislodgement and tube length problems, were recorded. The three groups were statistically compared. Results: Among the 52 cases using the new fixation technique, tube malpositions, including extrusions, had developed in only four cases (7.7{\%}) at 12 months after the operation. In the purse string and control groups, the same complications developed in 11 (21.6{\%}) and 22 cases (31.0{\%}), respectively. A statistically significant difference between these groups was detected (p=0.008). Other complications, such as conjunctival granulomas and tube obstruction, developed postoperatively in four cases (8.0{\%}) in the encircling group, and this did not differ significantly from that in the other groups (p=0.193). Conclusions: The authors believe that this encircling fixation procedure can help in CDCRs for maintaining the location and orientation of the tube during the early postoperative period.",
author = "Minwook Chang and Baek, {Se Hyun} and Lee, {Tae Soo}",
year = "2012",
month = "5",
day = "1",
doi = "10.1136/bjophthalmol-2011-300860",
language = "English",
volume = "96",
pages = "674--678",
journal = "British Journal of Ophthalmology",
issn = "0007-1161",
publisher = "BMJ Publishing Group",
number = "5",

}

TY - JOUR

T1 - A new lacrimal bypass tube fixation method to prevent tube displacement in conjunctivodacryocystorhinostomy (CDCR)

AU - Chang, Minwook

AU - Baek, Se Hyun

AU - Lee, Tae Soo

PY - 2012/5/1

Y1 - 2012/5/1

N2 - Aims: To evaluate the efficacy of a new lacrimal bypass tube fixation technique to the conjunctiva and caruncle, preventing postoperative displacement of the tube in conjunctivodacryocystorhinostomies (CDCRs). Methods: The authors conducted 52 CDCR procedures by a new tube fixation technique using a 6-0 prolene suture encircling the tube neck (encircling group). The suture was not removed during the follow-up period. Over the same period, the authors carried out 51 CDCRs with tube fixation using a 5-0 vicryl suture with the purse string procedure (purse string group) and 71 conventional CDCRs with tube fixation to the skin using a 6-0 nylon suture (control group). Postoperative complications, including dislodgement and tube length problems, were recorded. The three groups were statistically compared. Results: Among the 52 cases using the new fixation technique, tube malpositions, including extrusions, had developed in only four cases (7.7%) at 12 months after the operation. In the purse string and control groups, the same complications developed in 11 (21.6%) and 22 cases (31.0%), respectively. A statistically significant difference between these groups was detected (p=0.008). Other complications, such as conjunctival granulomas and tube obstruction, developed postoperatively in four cases (8.0%) in the encircling group, and this did not differ significantly from that in the other groups (p=0.193). Conclusions: The authors believe that this encircling fixation procedure can help in CDCRs for maintaining the location and orientation of the tube during the early postoperative period.

AB - Aims: To evaluate the efficacy of a new lacrimal bypass tube fixation technique to the conjunctiva and caruncle, preventing postoperative displacement of the tube in conjunctivodacryocystorhinostomies (CDCRs). Methods: The authors conducted 52 CDCR procedures by a new tube fixation technique using a 6-0 prolene suture encircling the tube neck (encircling group). The suture was not removed during the follow-up period. Over the same period, the authors carried out 51 CDCRs with tube fixation using a 5-0 vicryl suture with the purse string procedure (purse string group) and 71 conventional CDCRs with tube fixation to the skin using a 6-0 nylon suture (control group). Postoperative complications, including dislodgement and tube length problems, were recorded. The three groups were statistically compared. Results: Among the 52 cases using the new fixation technique, tube malpositions, including extrusions, had developed in only four cases (7.7%) at 12 months after the operation. In the purse string and control groups, the same complications developed in 11 (21.6%) and 22 cases (31.0%), respectively. A statistically significant difference between these groups was detected (p=0.008). Other complications, such as conjunctival granulomas and tube obstruction, developed postoperatively in four cases (8.0%) in the encircling group, and this did not differ significantly from that in the other groups (p=0.193). Conclusions: The authors believe that this encircling fixation procedure can help in CDCRs for maintaining the location and orientation of the tube during the early postoperative period.

UR - http://www.scopus.com/inward/record.url?scp=84862784654&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862784654&partnerID=8YFLogxK

U2 - 10.1136/bjophthalmol-2011-300860

DO - 10.1136/bjophthalmol-2011-300860

M3 - Article

VL - 96

SP - 674

EP - 678

JO - British Journal of Ophthalmology

JF - British Journal of Ophthalmology

SN - 0007-1161

IS - 5

ER -