37 cases of canalicular laceration repair clinical analysis of.docVIP

 PAGE \* MERGEFORMAT 8 37 cases of canalicular laceration repair clinical analysis of [Keywords:] canalicular laceration repair The Department of inner canthal eyelid laceration often accompanied by tears of small tubes broken, such as do not take proper treatment, will cause permanent epiphora. Now in our hospital from January 2002 to October 2008 treated 37 cases of canalicular laceration were analyzed retrospectively, the report is as follows. 1 Data and methods 1.1 General Information 37 cases in the last 34 cases of canalicular laceration, tears canalicular laceration in 2 cases, the tears of small tubes rupture in 1 case. Right eye in 18 cases, left eye in 19 cases, 32 cases were male and 5 females. The oldest 65 years old, minimum 12-year-old, with an average 36-year-old. Injuries due to some reasons: traffic accident in 27 cases, 2 cases of fights, falls in 5 cases, other causes in 3 cases. Treatment time: within 1h after injury, 10 cases, 1 ~ 12h26 cases, 12 ~ 24h1 cases. 1.2 surgical (1) according to routine cleaning and disinfecting a wound, the next line of trochlear nerve, anterior ethmoidal nerve and infraorbital nerve block anesthesia. If outside the Department of the inner canthus associated with eyelid or conjunctival laceration, the first to be sutured. (2) To find canalicular stump, and intubation. Temporal stump from the lacrimal insertion probe can be identified in nasal surgery stump to look for is a difficult and critical. We use a direct search for the naked eye, directly under the microscope to find the pig tail pin to find and retrograde injection of methylene blue liquid washing and other methods. First look for the naked eye under direct vision, we can see canalicular stump was off-white trumpet-shaped appearance, tissue swelling can zoom directly under the microscope to find. If the stump close to the lacrimal sac side, direct to find more difficult to use to find or pig tail pin retrograde injection of methylene blue liquid