Komínek P, Cervenka S, Novák V, Valenta J
ORL Oddĕlení Nemocnice, Frýdek-Místek.
Cesk Slov Oftalmol. 1997 Feb;53(1):32-9.
The authors present a review of various techniques of long-term intubation of efferent lacrimal pathways by a silicone fibre. They use an original way of intubation and intubate the insertion probes of the intubation set from the lower nasal outlet by means of a titanium loop under direct optic control by means of an endoscope. The use of the endoscope makes it possible to reduce the number of complications and iatrogenic damage of the mucosa and it enhances the effectiveness of the procedure. The authors prefer the use of special intubations sets; for young children intubation sets made from soft metal are preferable. At present all their demands are met by the intubation set they developed in collaboration with the Technical University, Prague. During the period between April 1994 and August 1996 the authors used the described technique for bicanalicular intubation of the efferent lacrimal pathways in 127 children and in adult patients 6x. In 86 instances they used an intubation set of Geuder Co., 44 times their own intubation set.
作者们对硅胶纤维长期插管泪液排出通道的各种技术进行了综述。他们采用一种独特的插管方法，在内窥镜直接视觉控制下，通过钛环从下鼻道出口插入插管套件的插入探针。使用内窥镜可减少并发症数量以及黏膜的医源性损伤，并提高手术效果。作者们倾向使用特殊的插管套件；对于幼儿，由软金属制成的插管套件更佳。目前，他们与布拉格技术大学合作研发的插管套件满足了他们所有的需求。在1994年4月至1996年8月期间，作者们将所述技术用于127名儿童和6名成年患者的泪液排出通道双泪小管插管。其中86例使用了格德公司的插管套件，44例使用了他们自己研发的插管套件。
