A new bicanalicular intubation method: Direct silicone intubation (DSI)

Orbit ◽  
1994 ◽  
Vol 13 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Katsuaki Kurihashi
Keyword(s):  
Silicone Intubation

scholarly journals Delayed unilateral pneumocephalus after bilateral endoscopic dacryocystorhinostomy in an elderly patient

2021 ◽  
Vol 14 (5) ◽  
pp. e241540
Author(s):  
Jaekyoung Lee ◽  
Dong Cheol Lee
Keyword(s):  
Elderly Patient ◽  
Cerebrospinal Fluid ◽  
Gold Standard ◽  
Standard Treatment ◽  
Nasolacrimal Duct ◽  
Intravenous Antibiotic ◽  
Duct Obstruction ◽  
Orbital Wall ◽  
Silicone Intubation ◽  
Endoscopic Dcr

Dacryocystorhinostomy (DCR) is the ‘gold standard’ treatment for nasolacrimal duct obstruction (NLDO). However, despite its recent technical advancements, complications are possible. Herein, to the best of our knowledge, we present the first reported case of delayed unilateral pneumocephalus after bilateral endoscopic DCR. An 85-year-old man with bilateral NLDO underwent endoscopic DCR with silicone intubation. After 1 month, he became lethargic and was admitted to emergency room. Brain CT demonstrated left pneumocephalus and a suspected microfistula in left orbital wall. Intravenous antibiotic therapy was started, and cerebrospinal fluid studies showed no evidence of meningitis. After 13 days of antibiotic treatment, his mental state recovered with no signs of pneumocephalus. Although DCR has high success rate and is relatively safe, surgeons should be aware of the risk, although low, of pneumocephalus, especially in elderly patients who are vulnerable to fractures and who exhibit headache or mental status changes after endoscopic DCR.

Silicone Intubation

2017 ◽  
pp. 1-3
Author(s):  
Kira L. Segal ◽  
Ben Levine ◽  
Gary J. Lelli
Keyword(s):  
Silicone Intubation

Electronically Assisted Nasolacrimal Duct Silicone Intubation

2013 ◽  
Vol 29 (1) ◽  
pp. 18-20 ◽  
Author(s):  
John D. Pemberton ◽  
John Miller ◽  
Jason Commander ◽  
Peter Michalos ◽  
Aaron Fay
Keyword(s):  
Nasolacrimal Duct ◽  
Silicone Intubation
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