Resumen de Carúnculo-rinostomía blanda

E. Murube, L. Chenzhuo, D. Viggiano

• español

  Propósito: Evaluar en los casos de destrucción de ambos canalículos lacrimales la implantación de una prótesis de laco-rinostomía blanda.

  Material y Método: Diez ojos con obstrucción irrecuperable de ambos canalículos fueron operados colocándoles una prótesis tubular entre el lago lacrimal y el vestíbulo nasal, que corre verticalmente por las partes blandas de la cara Resultado: Las operaciones se hicieron en régimen ambulatorio, con anestesia local y duraron un promedio de 9 minutos. Tras un período de seguimiento de año y medio, en todos los casos el flujo lacrimal quedó restaurado.

  Conclusión: La mejor solución actual para las obstrucciones irrecuperables de los canalículos lacrimales es conectar el lago lacrimal con el vestíbulo nasal con una prótesis tubular que corre casi verticalmente por las partes blandas de la cara.

• English

  Purpose: To evaluate the results of the vertical implantation of a silicone-pyrex tubular prosthesis through the soft tissues between the medial palpebral canthus and the nasal fossa in patients with obstruction of both upper and lower lacrimal canaliculi.

  Material and Method: Ten eyes with complete obstruction of both canaliculi underwent operation with implantation of silicone-pyrex tubes which were inserted almost vertically through the soft tissues of the lateral aspect of the nose from the lacrimal caruncle to the nasal vestibule without osteal perforation. All the operations were performed in an ambulatory setting using local anesthesia.

  Results: Average duration of operation was 9 minutes. In all cases, lacrimal flow was restored. Average follow-up was 18 months. No tube displacement was noted. Four cases of obstruction due to bleeding (1), conjunctival secretion (2) or conjunctival papilloma (1) were encountered during the follow-up period, and they were easily resolved.

  Conclusion: Soft tissue carunculo-rhinostomy using a silicone-pyrex tubular prosthesis is a rapid, simple and effective procedure for canalicular obstruction.