Double stent intubations in difficult post-traumatic dacryocystorhinostomy

Nasolacrimal obstruction following mid-facial trauma can be a difficult challenge for the lacrimal surgeon. After the initial bony repair with wires, or screws and plates, the reconstruction of the lacrimal drainage pathway can be accomplished best after at least 3 months. We describe methods of sac stent and canalicular intubation that can be used as a double stent intubation technique for severely traumatized patients.