Faculty Collaboration Database

Lacrimal intubation in the primary repair of midfacial fractures. Ophthalmology 1987 Mar;94(3):242-7

Date

03/01/1987

Pubmed ID

3587900

DOI

10.1016/s0161-6420(87)33466-9

Scopus ID

2-s2.0-0023235277 (requires institutional sign-in at Scopus site)   25 Citations

Abstract

Midfacial trauma causes a variety of functional and cosmetic problems that concern many surgical specialties. Fractures of the lacrimal sac fossa and lacrimal canal and compromise of the intrinsic membranous pathways are frequently not addressed, requiring late lacrimal bypass surgery in many cases. Silicone intubation of 11 disrupted distal pathways was performed as part of the primary, interdisciplinary repair of midfacial fractures. Revision of two systems was necessitated by later surgery performed for unrelated problems. In the remaining nine primarily intubated systems, patency was maintained in long-term follow-up. The role of the ophthalmic surgeon in the recognition and primary intubation of fractured distal lacrimal pathways should be stressed among colleagues in otolaryngology, plastic surgery, and maxillofacial surgery.

Author List

Harris GJ, Fuerste FH

Author

Gerald J. Harris MD Professor in the Ophthalmology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Dacryocystorhinostomy
Facial Bones
Humans
Intubation
Lacrimal Apparatus
Lacrimal Duct Obstruction
Nasolacrimal Duct
Skull Fractures
Surgery, Plastic
Tomography, X-Ray Computed