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Updated: Aug 11, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
[Intranasal dacryocystorhinostomy in children]
Vestnik Otorinolaringologii
|March 1, 1992
Summary
Endonasal dacryocystorhinostomy in 78 children showed consistent positive outcomes. This surgical approach is effective for dacryocysts, even those with phlegmons, and aids in closing fistulas.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Dacryocystitis, an infection of the lacrimal sac, can lead to complications like phlegmons and external fistulae.
- Endonasal dacryocystorhinostomy (DCR) is a surgical technique to restore lacrimal drainage.
Purpose of the Study:
- To evaluate the efficacy of endonasal dacryocystorhinostomy in pediatric patients.
- To assess the management of complicated dacryocysts, including phlegmons and fistulae, using this surgical approach.
Main Methods:
- Retrospective analysis of 78 pediatric cases undergoing endonasal dacryocystorhinostomy.
- Surgical technique focused on endonasal approach to the lacrimal sac.
Main Results:
- A steady and favorable outcome was observed in the majority of the 78 children treated.
- Concomitant external fistulae of the lacrimal sac demonstrated spontaneous closure post-operatively in most cases.
- Larger fistulae required surgical suturing for successful closure.
Conclusions:
- Endonasal dacryocystorhinostomy is a highly effective surgical procedure for pediatric dacryocystitis.
- The technique is recommended for dacryocysts complicated by phlegmons and effectively manages associated fistulae.
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