Abstract
The metal probes of the silicone tube that we use in dacryocystorhinostomy operations can sometimes break off during the surgery. In order to prevent material waste by opening the second tube, or sometimes the 2<sup>nd</sup> tube is not available, we tried to use 18-gauge, intravascular catheter as a guide material. And after removing the port part of the catheter, it is introduced together with the lacrimal prob into the punctum and advanced to the rhinostomy site and then silicone tube inserted into the catheter.
Highlights
The metal probes of the silicone tube that we use in dacryocystorhinostomy operations can sometimes break off during the surgery
In ptosis surgery the average surgical time was short and there were no intraoperative or postoperative complications associated with the insertion of catheter, such as edema, hematoma, echymosis or allergic reactions
Bicanalicular silicone tube placement and frontal sling material are widely used in dacryocystorhinostomy (DCR) and in ptosis surgeries
Summary
Bicanalicular silicone tube placement and frontal sling material are widely used in dacryocystorhinostomy (DCR) and in ptosis surgeries. The disadvantages associated with this device is that it is expensive and sometimes the metal end of silicone tube can break off during the surgery [1] Another clinical condition is blepharoptosis, which causes many psychological and visual problems. Silicone rods produce little tissue reaction and are elastic, allowing the patients eyes to close properly through the contraction of the orbicularis muscle. Another advantage of the silicone rod is the fact that we do not need to use another surgical site on the patient, as in the withdrawal of fascia lata or fascia temporalis, which would improve the mobility [5]
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