CANNULA‐PROBING COMBINED WITH NASAL PROCEDURE FOR DACRYOCYSTITIS NEONATORUM

1 June 1978

journal article
research article
Published by Wiley in Acta Ophthalmologica

Vol. 56 (3) , 357-362
https://doi.org/10.1111/j.1755-3768.1978.tb05688.x

Abstract

A total of 2063 cases of dacryocystitis neonatorum were treated by cannula-probing. In 37 cases the cannula-probing had to be combined with a nasal procedure for opening the closed nasolacrimal membrane: a periosteal elevator was passed into the inferior meatus of the nasal cavity and its tip was rubbed against the tip of the cannula-probe through the imperforate mucosa of the ostium. The patency of the duct was tested by simultaneous syringing. In 35 cases the lacrimal pathway became permanently patent after 1 nasal procedure and in 2 cases after 2 operations. This kind of nasal procedure was indicated: in those cases where the cannula-probing meets with resistance at the ostium; and in those cases where control syringing; made while slowly withdrawing the cannula-probe, was repeatedly unsuccessful at the beginning of the withdrawal.

Keywords

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