Bikanaliküler Entübasyon ve Cilt Sütürasyonu ile Kanaliküler Kesi Onarım Sonuçları

Objectives: To evaluate the results of canalicular laceration reparation using bicanalicularsilicone tube intubation and eyelid skin suturation without canalicular wall or deep orbicular muscle suturation.\udMethods: The records of 28 patients who were operated and followed up for canalicular laceration were analyzed retrospectively. Etiology andlocation of the canalicular laceration, time between the injury and operation, method of anesthesia and time of silicone tube removal were noted. We performed bicanalicular silicone tube intubation and eyelid skin suturation using 6/0 polyglactine sutures without suturing canalicular walls. Patients were followed up for at least 6 months and silicone tubes were stayed at least for 4 months. Functional and surgical success were evaluated by nasolacrimal canal lavage.\udResults: The mean age of the patients was 33.0±19.6 (8-90); 24 (85.7%) were male and 4 (14.3%) were female. Mean time between the injury and surgical procedure was 40.3±47.4 (3-168) hours. Canalicular laceration etiologies were blunt trauma in 9 (32.3%) cases, industrial accident in 8 (28.6%) cases, traffic accident in 6 (21.4%) cases, firearm or shrapnel injury in 5 (17.8%) cases. Lower canaliculus was injured in 18 patients (64.3%), upper canaliculus was lacerated in 4 (14.3%) patients and both canaliculi were injured in 6 (21.4%) cases. Mean time for the removal of silicone tube was 6.07±0.81 (4-8) months. Nasolacrimal passage was open in all patients after the removal of silicone tube.\udConclusion: Bicanalicular silicone tube intubation and skin suturation without canalicular wall or deep orbicular muscle suturation is an effective alternative method for the treatment of canalicular lacerations