{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:23:22Z","timestamp":1765610602792,"version":"3.48.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Hintergrund Monokanalikul\u00e4re Intubationssysteme wie Mini-Monoka und Monoka haben sich in der Behandlung von TNW-Stenosen (Nasolacrimal Duct Obstruction [NLDO]) im Erwachsenenalter bew\u00e4hrt. Ziel dieser retrospektiven Studie war die Analyse des postoperativen Fremdk\u00f6rpergef\u00fchls (FK) bei Anwendung beider Systeme nach DCR.<\/jats:p>\n                  <jats:p>Methodik Eingeschlossen wurden 130 Patienten (Alter &gt;\u200918 Jahre), die im Rahmen einer DCR eine TNW-Intubation \u00fcber das obere Tr\u00e4nenp\u00fcnktchen f\u00fcr 3 Monate erhielten. Gruppe 1 (n\u2009=\u200968) erhielt ein Mini-Monoka-, Gruppe 2 (n\u2009=\u200962) ein Monoka-Intubat (4\u2009mm). Das subjektive FK-Gef\u00fchl wurde mittels Fragebogen erfasst.<\/jats:p>\n                  <jats:p>Ergebnisse In Gruppe 1 lag das mittlere Alter bei 63,7 Jahren (Spanne: 22\u200a\u2013\u200a91; SD: 15,4 Jahre), in Gruppe 2 bei 61,2 Jahren (Spanne: 25\u200a\u2013\u200a79; SD: 13,3 Jahre). Das Geschlechterverh\u00e4ltnis betrug 3,25\u200a:\u200a1 bzw. 4,64\u200a:\u200a1 (m\u200a:\u200aw). Ein Fremdk\u00f6rpergef\u00fchl wurde von 22,1% der Patienten in Gruppe 1 und 40,3% in Gruppe 2 angegeben. Eine m\u00e4\u00dfige bis starke subjektive Beeintr\u00e4chtigung \u00e4u\u00dferten 40% der Betroffenen in Gruppe 1 und 56% in Gruppe 2. Der Unterschied im Auftreten des Fremdk\u00f6rpergef\u00fchls war statistisch signifikant (p\u2009=\u20090,024). Die geschlechtsspezifische Subanalyse mittels einfacher Gruppenvergleiche (Chi-Quadrat-Test) zeigte keine signifikanten Unterschiede (p\u2009=\u20090,149). Eine erg\u00e4nzende logistische Regressionsanalyse best\u00e4tigte, dass das verwendete Intubationssystem einen signifikanten Einfluss auf das Auftreten eines Fremdk\u00f6rpergef\u00fchls hatte (p\u2009=\u20090,024), w\u00e4hrend das Geschlecht im Rahmen der multivariaten logistischen Regressionsanalyse keinen signifikanten Effekt zeigte\n          (p\u2009=\u20090,617). Die beobachteten Unterschiede im subjektiven Empfinden lassen sich somit \u00fcberwiegend auf systemimmanente Eigenschaften zur\u00fcckf\u00fchren.<\/jats:p>\n                  <jats:p>Schlussfolgerung Beide Systeme f\u00fchren bei einem relevanten Anteil der Patienten zu einem FK-Gef\u00fchl. Aufgrund der h\u00f6heren subjektiven Beeintr\u00e4chtigung unter Monoka-Intubat sollte ein Mini-Monoka-Intubat bevorzugt werden, sofern anatomisch m\u00f6glich.<\/jats:p>","DOI":"10.1055\/a-2729-7875","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T22:48:10Z","timestamp":1761173290000},"page":"1185-1190","source":"Crossref","is-referenced-by-count":1,"title":["Impact of the Intubation System on Postoperative Foreign Body Sensation Following Lacrimal Surgery"],"prefix":"10.1055","volume":"242","author":[{"given":"Marie Elisabeth","family":"Burghardt","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts- und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiebke","family":"Dettmer","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts- und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Chodorowska","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts- und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-Gert","family":"Struck","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts- und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Viestenz","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts- und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Heichel","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts- und Poliklinik f\u00fcr Augenheilkunde, Martin-Luther-Universit\u00e4t Halle-Wittenberg, Halle (Saale), Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"ref1","first-page":"29","article-title":"[External Dacryocystorhinostomy\u2013Analysis of Patient Material of the University Hospital Halle from 2000 to 2011]","volume":"233","author":"J Heichel","year":"2016","journal-title":"Klin Monbl Augenheilkd"},{"key":"ref2","first-page":"211","article-title":"Tr\u00e4nenwegsstenosen im Erwachsenenalter","volume":"238","author":"J Heichel","year":"2020","journal-title":"Klin Monbl Augenheilkd"},{"key":"ref3","first-page":"385","article-title":"Nuovo metodo conservatore di cura radicale 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