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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Contributing factors to prevent prolonged epiphora after maxillectomy
Nam-Kyung Yeo1, Jong Hwan Wang, Yoo-Sam Chung
1Department of Otolaryngology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Seoul, South Korea.
Archives of Otolaryngology--Head & Neck Surgery
|March 17, 2010
Summary
Silicone tube stenting effectively prevents prolonged epiphora after maxillectomy. This technique offers a convenient reconstructive solution for managing the transected nasolacrimal duct, reducing persistent tearing.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Oncology
Background:
- Maxillectomy for sinonasal tumors can result in nasolacrimal duct transection.
- Prolonged epiphora is a common complication following such procedures.
- Effective management of the transected nasolacrimal duct is crucial for patient outcomes.
Purpose of the Study:
- To analyze the incidence of prolonged epiphora after maxillectomy.
- To compare different management techniques for the transected nasolacrimal duct.
- To identify factors influencing the development of prolonged epiphora.
Main Methods:
- Retrospective review of 90 cases (89 patients) undergoing maxillectomy with nasolacrimal duct transection.
- Analysis of four management techniques: no procedure, silicone tube stenting, transcanalicular Silastic stenting, and marsupialization.
- Evaluation of tumor type, radiotherapy, and tube removal timing as influencing factors.
Main Results:
- Overall incidence of prolonged epiphora was 15.6%.
- Silicone tube stenting showed the lowest epiphora rate (7.0%) compared to other methods (P = .002).
- Tumor type, radiotherapy, and tube removal timing did not significantly affect epiphora rates.
Conclusions:
- Silicone tube stenting is an effective and convenient technique for reconstructing the transected nasolacrimal duct.
- This method significantly reduces the incidence of prolonged epiphora post-maxillectomy.
- Optimizing nasolacrimal duct management can improve quality of life for patients.
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