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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Endonasal dacryocystorhinostomy in children
1Division of palpebral and lacrimal surgery, Hospital Petrópolis, Porto Alegre.
Brazilian Journal of Otorhinolaryngology
|August 1, 2006
Summary
Endoscopic endonasal dacryocystorhinostomy is a safe and effective treatment for pediatric nasolacrimal duct obstruction resistant to probing. This study shows a high success rate, making it a viable surgical option for children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Nasolacrimal duct obstruction (NLDO) is common in children.
- Previous treatments like probing often fail in persistent cases.
Purpose of the Study:
- To evaluate the efficacy and safety of endonasal endoscopic dacryocystorhinostomy (DCR) in pediatric patients with NLDO.
- To determine if this technique is a valid alternative for children with NLDO refractory to probing.
Main Methods:
- A clinical cohort study involving 27 children aged 2-12 years with NLDO.
- All patients had previously undergone unsuccessful probing.
- The procedure involved uncinectomy and a small lacrimal sac opening, with a 3-month follow-up.
Main Results:
- A success rate of 77.8% (21 out of 27 surgeries) was achieved.
- The sole complication reported was silicone prolapse in one patient.
Conclusions:
- Endoscopic endonasal DCR is an acceptable and safe surgical method for pediatric NLDO.
- The technique demonstrates effectiveness in cases resistant to less invasive treatments like probing.
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