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28-0185 - SET, INTUBATION, W/O SUTURE, OUTER-0.025", EACH
Crawford Lacrimal Intubation Set (without suture)
Two flexible stainless steel probes (0.40 mm dia. wires) with an olive-shaped tip and the other ends joined by a length of silicone tubing (outside dia. 0.64 mm, inside dia. 0.30 mm). This is the original Crawford Lacrimal Intubation Set.
The original Crawford Set (without suture) is inserted in exactly the same manner as described above, however, the tubing itself is tied and the knotted silicone tubing secured by a fine suture of the surgeons choice, for example, 8-0 silk. The knotted tubes are then tucked up into the nose. Because of the bulk of the knot, it will not pass through the canaliculus and the tubes must be removed through the nose. In older patients, it may be possible to expel the knot by having the patient sneeze, but in small children it may require a second general anesthetic to locate the knot and remove the tubes.
The Crawford Lacrimal Intubation System is a simple procedure designed by the late J.S. Crawford, M.D., which speeds up the process of inserting a lacrimal stint with less trauma and tearing of wires, silicone medical grade tubing, and a specially designed hook. The stainless steel wires have silver olive-shaped tips for grasping with the special hook and permit ease of extraction from the inferior meatus of the nose. It is particularly helpful in those cases where repeated probings have failed. (Useful in the reconstruction of the lacrimal outflow system and dacryocystorhinostomy.)