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Date Published: 17/10/2024
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DOI: https://doi.org/10.51298/vmj.v543i2.11462
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Vol. 543 No. 2 (2024)
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Các bài báo
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Nguyễn, T. H. H. (2024). EARLY EVALUATION OF NASOLACRIMAL PROBING WITH MASTERKA OR NUNCHAKU STENTING IN TREATMENT OF CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION. Vietnam Medical Journal, 543(2). https://doi.org/10.51298/vmj.v543i2.11462

EARLY EVALUATION OF NASOLACRIMAL PROBING WITH MASTERKA OR NUNCHAKU STENTING IN TREATMENT OF CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION

Thị Hồng Hạnh Nguyễn

Main Article Content

Abstract

Background: Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in infants, with an incidence ranging from 5% to 20%. While many cases resolve spontaneously or respond to conservative treatments such as lacrimal sac massage and antibiotics, surgical intervention becomes necessary for cases persisting beyond 12 months of age. Traditional treatments like dacryocystorhinostomy (DCR) with silicone tube placement have shown effectiveness but are associated with a high recurrence rate and potential complications such as nasal mucosal injury and postoperative bleeding. Objective: This study aims to evaluate the effectiveness and safety of two new lacrimal stent types, Masterka and Nunchaku, in the treatment of CNLDO. Methods: A prospective study was conducted on 20 pediatric patients at Ho Chi Minh City Eye Hospital, with 12 patients treated using the Masterka stent and 8 patients treated using the Nunchaku stent. Patients were monitored and evaluated at 1 day, 1 month, 3 months, 6 months, and 9 months post-operation. Results: The success rate post-operation was 100% in both groups, with no significant complications reported. The average surgery time was 4 minutes for the Masterka group and 9 minutes for the Nunchaku group. All parents expressed satisfaction with the surgical outcomes, and no recurrences were observed after 6 months of follow-up. Conclusion: Both the Masterka and Nunchaku tubes proved to be highly effective and safe in treating CNLDO, with excellent success rates and no significant complications. These findings suggest that these methods could be widely adopted in clinical practice.

Article Details

Keywords

CNLDO, probing, Masterka, Nunchaku

References

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