Intubation methods of treatment of dacriostenosis in combination with coblation dacriocystorhinosthomy
G.S. SHKOLNIK¹, S.F. SHKOLNIK¹, V.N. KRASNOZHEN², N.P. PASHTAEV¹
¹Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution, 10 prospekt Traktorostroiteley, Cheboksary, Russian Federation, 428022
² KSMA ― Branch Campus of the FSBEI FPE RMACPE MOH Russia, 36 Butlerov Str., Kazan, Russian Federation, 420012
Shkolnik G.S. ― ophthalmologist of the Department of Outpatient Surgery and Conservative Methods of Treatment, e-mail: gshkolnik@mail.ru
Shkolnik S.F. ― Cand. Med. Sc., Head of the Operating Unit, e-mail: s_shkolnik@mail.ru
Krasnozhen V.N. ― Doc. Med. Sc., Professor, Head of the Otorhynolaryngology Department, e-mail: vn_krasnozhon@mail.ru
Pashtaev N.P. ― Doc. Med. Sc., Professor, Director, tel. (8352) 36-46-88, e-mail: pr@mntkcheb.ru
Over the years, many modifications of lacrimal intubation have been proposed in combination with dacryocystorhinostomy to improve its results. The authors continue discussing the advantages and disadvantages of stenting and drainage of tear ducts, as well as their effect on the operation performed.
The objective of the work is to determine the indications for drainage and stenting of tear ducts as a stage of coblation dacryocystorhinostomy as the most modern and sparing technology for its implementation.
Materials and methods: After conducting diagnostic manipulations, all patients underwent endonasal endoscopic coblation dacryocystorhinostomy according to the procedure stated in Patent of Russian Federation 2018103889 dated 01.02.2018. Drainage and stenting of tear ducts at the final stage of surgical treatment was performed for those patients who showed no or incomplete permeability of canaliculi during washing, probing and transcanalicular endoscopy.
Results: Expanded indications for draining and stenting of lacrimal canals, including after coblation dacryocystorhinostomy, despite its indisputable advantages from the point of view of less invasiveness, is justified and recommended with additional risk factors for closing the newly formed anastomosis.
Conclusion: Expanding indications for draining and stenting of lacrimal canals, including after coblation dacryocystorhinostomy, despite its indisputable advantages in terms of less invasiveness, is justified and shown with additional risk factors for closing the newly formed anastomosis.
Key words: endonasal dacryocystorhinostomy, cold-plasma ablation, coblation, coblation dacryocystorhinostomy, obstruction of tear ducts.
(For citation: Shkolnik G.S., Shkolnik S.F., Krasnozhen V.N., Pashtaev N.P. Intubation methods of treatment of dacriostenosis in combination with coblation dacriocystorhinosthomy. Practical Medicine. 2018)
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