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Sonul Mehta, Navdeep Nijhawan; A Novel Technique to Repair Nasal Cutaneous Fistula Formation After Conjunctival Dacryocystorhinostomy. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1019.
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To report nasal cutaneous fistula as a complication of conjunctival dacryocystorhinostomy and to describe a novel technique to manage this condition.
Prospective interventional cohort study. 2 patients with previous history of conjunctival dacryocystorhinostomy presented with a nasal cutaneous fistula 10 mm from the site of Jones tube insertion. Primary closure and tissue reconstruction failed to close the defect and the fistula reformed. A novel technique using cyanoacrylate glue was employed to succesfully manage this condition. Success was defined as closure of the fistula without recurrence and resolution of symptoms.
A total of 2 patients underwent this procedure, and were followed over a 6 month period. All patients had closure of fistula without recurrence and resolution of symptoms. No complications were noted.
We report nasal cutaneous fistula formation as a complication of conjunctival dacryocystorhinostomy. This study aimed to describe a new technique to manage this complication. We found this procedure to be easy to perform and very effective in correcting nasal cutaneous fistulas that developed after conjunctival dacryocystorhinostomy and were refractory to primary closure and tissue reconstruction. The results suggest that a technique using cyanoacrylate glue is a safe, effective, and alternative technique to repair nasal cutaneous fistulas.
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