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[Dacryocystorhinostomy with temporary intubation using a Hatt set].

M Anders

    Ceskoslovenska Oftalmologie
    |September 1, 1989
    PubMed
    Summary
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    Temporary intubation using a Hatt set in dacryocystorhinostomy (DCR) surgery shows promising results. This technique appears to enhance the patency of new tear drainage pathways, leading to successful outcomes in most patients.

    Area of Science:

    • Ophthalmology
    • Oculoplastics
    • Surgical Innovation

    Context:

    • Dacryocystorhinostomy (DCR) is a surgical procedure to restore tear drainage.
    • Temporary intubation is sometimes used to maintain patency of newly created tear outflow pathways.
    • The Hatt set is a specific device for temporary intubation in DCR.

    Purpose:

    • To evaluate the efficacy and tolerance of temporary intubation with a Hatt set in patients undergoing dacryocystorhinostomy.
    • To assess the patency rates of new efferent pathways created during DCR with Hatt set intubation.

    Summary:

    • Ten dacryocystorhinostomies were performed with temporary Hatt set intubation between June 1987 and March 1988.
    • Seven patients had successful two-month intubations; six of these maintained patent new pathways with no epiphora at 6-18 month follow-up.

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  • One patient experienced postoperative rhinitis and canalicular blockage; the Hatt set was well-tolerated by all patients.

    • Impact:

    • Temporary intubation with a Hatt set demonstrates encouraging results in enhancing DCR success rates.
    • The procedure appears well-tolerated, suggesting potential for improved outcomes in tear drainage surgery.
    • This technique warrants further investigation for its role in managing nasolacrimal duct obstruction.