Twelve cases with canalicular disorders were treated by a new technique using multiple traction sutures (MTS) under an operating microscope. The MTS using black silk or 5–0 nylon were applied at the medial canthus, near the upper and lower puncta and at the caruncle. Additional traction sutures were applied to locate a deep canalicular system if needed, resulting in a total of 5–10 traction sutures. The patient’s face was turned sideways towards the left in the operation of the right eye, and to the right in the operation of the left eye. By using the new technique, the opening of the common canaliculus could easily be located without resorting to an open-sky technique requiring skin incision. A new canaliculus could easily be made using a free graft of oral mucous membrane between the common canaliculus and medial canthus with the help of MTS in 7 cases out of 12. As stents, a match-style silicone tubing, a nunachaku-style silicone tubing, an ordinary silicone tubing and a silicone tubing with a silicone sponge were used for 7, 1, 1 and 3 cases, respectively. After a mean follow-up 17.2 months, symptomatic relief and patency of the lacrimal passage were achieved in all cases.

Keywords:
Multiple traction sutures, Canalicular reconstruction, Tear meniscus height, Lacrimal stents, Oral mucous membrane
This content is only available via PDF.
© 1995 S. Karger AG, Basel
1995
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.