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December 1987

Lacrimal System Intubation

Author Affiliations

Austin, Tex

Arch Ophthalmol. 1987;105(12):1625. doi:10.1001/archopht.1987.01060120023003

To the Editor.  —In the June 1987 issue of the Archives, the report by Romano1 includes a photograph (Fig 2 in Dr Romano's article) showing the silicone sponges placed in the intranasal cavity, partially occluding the airway on both sides. I believe that the silicone sponge position, as shown in the photograph, would be particularly bothersome to the patient's normal breathing pattern. It also may be a source of chronic nasal discharge and intranasal irritation.My colleague and I2 reported a more appropriate position of the silicone tubing and sponge in 1983. We positioned the silicone sponge in the inferior meatus along the lateral wall of the nose (Figure). Infracturing of the inferior turbinate may be required to position the silicone sponges properly. The knotted silicone tubing extends to the floor of the nose and can easily be grasped for retrieval of the silicone loop, if needed.Evaluation