J Rhinol > Volume 24(1); 2017
Journal of Rhinology 2017;24(1):42-47.
Published online May 31, 2017.
DOI: https://doi.org/10.18787/jr.2017.24.1.42   
Two Cases of Recurrent Nasolacrimal Duct Obstruction by Remaining Silicone Tube
Hong Geun Kim, Young Jun Chung, Se Hyung Kim, Ji Hun Mo
1Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University, College of Medicine, Cheonan, Korea. jihunmo@gmail.com
2Department of Otorhinolaryngology-Head and Neck Surgery, Jeju National University School of Medicine, Jeju, Korea.
잔존한 실리콘관에 의해 재발한 비루관 폐쇄 2예
김홍근, 정영준, 김세형, 모지훈
단국대학교 의과대학 이비인후-두경부외과학교실,1 제주대학교 의학전문대학원 이비인후-두경부외과학교실2
Abstract
Endoscopic dacryocystorhinostomy (DCR) is a widely used procedure for nasolacrimal duct obstruction. Because endoscopic DCR has shown higher success rate, fewer complications, and better cosmetic outcome compared to the conventional external approach, it has replaced the external approach. However, since the openings of the nasal cavity formed during surgery are small, recurrence often occurs due to stenosis caused by granuloma formation or the silicone tube. Hence, it is important to remove the silicone tube before granuloma formation around the openings of the nasal cavity after surgery. Failure to remove the silicone tube at the appropriate time can cause inflammation, resulting in granuloma formation. We recently experienced two cases of recurrent nasolacrimal duct obstruction caused by a remaining silicone tube. Here, we present these cases with a brief review of the literature.
Key Words: Dacryocystorhinostomy;Remaining silicone tube;Recurrent nasolacrimal duct obstruction




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