Beloglazov V G, At'kova E L, Malaeva L V, Nikol'skaia G M, Azibekian A B, Saad El'din N M
Vestn Oftalmol. 1998 Sep-Oct;114(5):29-32.
The results of 315 endonasal operations on the lacrimal duct with long intubation are analyzed. The most incident complication of long intubation of the lacrimal duct is formation of intubation granulomas, which are most often localized in the inferior lacrimal canaliculus; their etiology is sometimes allergic--they form as a response of adjacent tissues to the material of the intubation tube, and the findings of our recent histological study prove it. The diagnosis of intubation granulomas is easy in the majority of cases. The treatment consists in removal and obligatory adequate total and local antiallergic therapy decelerating the growth and relapses of granulomas. After removal of the intubation tube the growth of granulations ceases and a fine cicatrix forms.
对315例鼻内泪道长期插管手术的结果进行了分析。泪道长期插管最常见的并发症是插管肉芽肿的形成，其最常位于下泪小管；其病因有时是过敏性的——它们是相邻组织对插管材料的反应形成的，我们最近的组织学研究结果证实了这一点。在大多数情况下，插管肉芽肿的诊断很容易。治疗包括切除肉芽肿并进行必要的充分全身和局部抗过敏治疗，以减缓肉芽肿的生长和复发。拔除插管后，肉芽组织停止生长并形成良好的瘢痕。
