Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Outcomes of Lacrimal Drainage Reconstruction After Medial Canthal Defects
Author: Janez Bregar
ePoster Number: 235,00
Purpose
Injury to the lacrimal drainage system (LDS) is often associated with acquired medial canthal defect due to tumor excision or trauma. Injury to the lacrimal drainage system is often associated with an acquired defect of the medial canthal tissue following tumor excision or trauma. For optimal postoperative outcomes, appropriate reconstructive techniques are crucial, including reconstruction of the LDS.We analyzed the success of lacrimal drainage system reconstruction following tumor excision or trauma with associated tissue loss.
Methods
A retrospective analysis was conducted on patients treated between 2017 and 2020, in whom reconstruction of the medial canthal region and the LDS was performed. A total of 20 patients were included. The success of the lacrimal system reconstruction was assessed anatomically using probing and irrigation, and functionally with a questionnaire evaluating the presence of excessive tearing.
Results
After silicone tube removal 30/35 (86%) LDS were anatomically patent. Functionally, 22/32 patients (69%) reported no tearing, 3/32 (9%) experienced occasional tearing, and 7/32 (22%) had constant tearing—three of whom had also undergone additional radiotherapy. In 3 patients, subjective assessment could not be obtained. Functional outcomes were associated with the complexity of the reconstruction.
Conclusion
In cases of acquired medial canthal tissue defects, we recommend reconstruction of both the tissue defect and the LDS using a silicone stent to achieve optimal anatomical and functional outcomes. This approach can prevent symptomatic tearing and the need for additional surgical intervention.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Gregor | Hawlina | Eye Hospital, University Medical Centre Ljubljana, Slovenia |
Abstract ID: 25-572
