Lindsey J T
Ann Plast Surg. 2000 Feb;44(2):167-72. doi: 10.1097/00000637-200044020-00008.
This is a retrospective review of 6 patients treated for lacrimal duct injuries between December 1994 and October 1997. Four patients had inferior canalicular lacerations, one had a superior laceration, and one had a combined inferior and superior laceration. Associated injuries included facial fractures (1 patient), multiple facial lacerations (2 patients), and avulsion of the medial canthus (1 patient). All patients were repaired with Crawford tubes using a semicircular technique. The mean time of lacrimal intubation was 4.2 months (range, 3.6-4.5 months). One tube fell out at an undetermined time during the follow-up period. Visible anatomic restoration was considered excellent in all patients. There were no instances of persistent epiphora or other complications. Although there are several techniques available for treating lacrimal duct injuries in the course of dealing with general facial trauma, the semicircular technique using a Crawford intubation system yielded consistently reliable results with minimal or no complications.
这是一项对1994年12月至1997年10月期间接受泪道损伤治疗的6例患者的回顾性研究。4例患者为下泪小管撕裂伤，1例为上泪小管撕裂伤，1例为上下泪小管联合撕裂伤。相关损伤包括面部骨折（1例）、多处面部撕裂伤（2例）和内眦撕脱伤（1例）。所有患者均采用半圆形技术用克劳福德管进行修复。泪道插管的平均时间为4.2个月（范围为3.6 - 4.5个月）。在随访期间，有1根管子在未确定的时间脱落。所有患者的可见解剖修复均被认为效果极佳。没有出现持续性溢泪或其他并发症的情况。尽管在处理一般面部创伤过程中有多种治疗泪道损伤的技术，但使用克劳福德插管系统的半圆形技术始终能产生可靠的结果，并发症极少或没有。
