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مقاله
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Abstract
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Title:
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“Pulled” stent versus “pushed” stent intubation for treatment of complex nasolacrimal duct obstruction or after failed probing
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Author(s):
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bahram eshraghi,masood aghsaie far
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Bahram Eshraghi
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Affiliation :(optional)
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farabi eye hospital
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E mail:
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eshraghyy@yahoo.com
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Phone:
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55409092
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Mobile:
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09122470416
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Purpose:
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To compare the success rate of pulled stent intubation with pushed stent intubation in children with congenital nasolacrimal duct obstruction (CNLDO) after failed probing or in complex obstruction
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Methods:
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This prospective, nonrandomized study was performed in a single, academic center. Eighty-eight eyes with complex CNLDO or after failed probing were treated with pulled stent intubation (n=47) or pushed stent intubation (n=41). Outcome measures included clinical signs plus a parental history of residual symptoms at 6 months after surgery.
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Results:
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Tubes were removed at a mean of 2.57 ±0.5 months after surgery. The mean follow-up after surgery was 9.0 months (range, 6.5-13 months). Complete resolution was achieved in 35 of 47 eyes (74.5%; 95% CI, 59.4%-85.6%) after pulled stent compared with 25 of 41 eyes (61.0%; 95% CI, 44.5%-75.4%) after pushed stent (Chi-square, P=0.17; RR=1.2; 95% CI, 0.9-1.6). Partial improvements was achieved in 5 of 47 eyes (10.6 %; 95% CI, 4%- 23.9%) after pulled stent compared with 10 of 41 eyes (24.4%; 95% CI, 12.9%-40.6%) after pushed stent (Chi-square, P=0.08; RR=0.4; 95% CI, 0.1-1.1).
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Conclusion:
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In our patients with complex CNLDO or after failed probing, treatment with a pulled stent and pushed stent intubation alleviate the clinical signs and symptoms of CNLDO in a similar percentage of patients (without a statistically significant difference).
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Attachment:
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