누소관 열상 환자에 있어 실리콘 판과 Mini Monoka®를 이용한 누소관 성형술

Study of Silicone Tube and Mini Monoka® for Reconstruction of Lacrimal Canaliculi

  • 박진형 (고신대학교 의과대학 성형외과학교실) ;
  • 김한결 (고신대학교 의과대학 성형외과학교실)
  • Park, Jin Hyung (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine) ;
  • Kim, Han Kyeol (Department of Plastic and Reconstructive Surgery, Kosin University College of Medicine)
  • 투고 : 2007.10.07
  • 발행 : 2008.01.10

초록

Purpose: In case of facial injury, a canalicular injury is common. Many methods and materials have been used for reconstruction of lacrimal canaliculi. Silicone tube is the most widely used material, generally with pigtail probe or stainless steel probe. But it has still many problems. The authors guess that reconstruction using Mini $Monoka^{(R)}$ will reduce those problems and will be more successful. Methods: From July, 2003 to November, 2006 in 24 patients with canalicular injury, 11 cases were recon- structed with former silicone tube and 13 cases were treated with Mini $Monoka^{(R)}$. Results: The mean follow-up period was 3 months. The results of reconstruction were classified into three groups(Normal, Fair, Poor). In 13 cases with Mini $Monoka^{(R)}$ stent, 10 cases were normal, 3 were fair, and no poor cases. But in 11 cases with bicanaliculus silicone stent, 6 cases were normal, 3 were fair, and 2 were poor. Conclusion: Compared with bicanaliculus silicone stent, Mini $Monoka^{(R)}$ stent is fixed well, has no aesthetic problems, makes less foreign body sensation. And the results were successful.

키워드

참고문헌

  1. Wulc AE, Arterberry JF: The pathogenesis of canalicular laceration. Ophthalmology 98: 1243, 1991 https://doi.org/10.1016/S0161-6420(91)32148-1
  2. Gibbs DC: New probe for the intubation of lacrimal canaliculi with silicone rubber tubing. Br J Ophthalmol 51: 198, 1967 https://doi.org/10.1136/bjo.51.3.198
  3. Shim HG, Byeon JH, Rie JW, Lee CK, Lim P: Lacrimal canalicular reconstruction with various materials. J Korean Soc Plast Reconstr Surg 25: 622, 1998
  4. Kim KM, Kim YO, Lee YS: The results of canalicular reconstruction surgery with silicone tube. J Korean Soc Plast Reconstr Surg 21: 532, 1994
  5. Crawford JS: Intubation of obstruction in the lacrimal system. Can J Ophthalmol 12: 289, 1977
  6. Dorzbach RK, Angrist RA: Silicone intubation for lacerated lacrimal canaliculi. Ophthalmic Surg 16: 639, 1985
  7. Kang ET, Burm JS, Kim YW: Simple method of silicone tube intubation with pigtail probe and maintenance for lacrimal canalicular repair. J Korean Soc Plast Reconstr Surg 31: 584, 2004
  8. Lee JJ, Cho JW, Kim CW, Yoo YC, Yoo SK, Kim SD: Lacrimal canalicular repairing using silicone intubation. J Korean Soc Plast Reconstr Surg 25: 1108, 1998
  9. Chung JH, Na KS, Choi GJ: The effectiveness of canaliculoplasty using Mini-Monoka or bicanalicular stent for repair of upper and lower canalicular laceration. J Korean Ophthalmol Soc 41: 2138, 2000
  10. Baek SH, Hur H, Park MS: Canaliculoplasty using MONOKA stent(monocanaliculonasal stent) for repair of canalicular laceration. J Korean Ophthalmol Soc 42: 955, 2001
  11. Kim SD, Kim IJ, Jo JH: Outcome of Mini Monoka Silicone Monocanalicular Lacrimal Stents in canalicular laceration. J Korean Ophthalmol Soc 44: 1728, 2003
  12. Lee CS, Jeong SK, Park YG: Canaliculoplasty using Mini-Monoka$^{\circledR}$ or Bicanalicular Stent for repair of canalicular laceration. J Korean Ophthalmol Soc 40: 895, 1999