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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Pediatric endonasal endoscopic dacryocystorhinostomy.
Ph Eloy1, E Leruth, A Cailliau
1ENT & HNS department, Cliniques universitaires de Mont-Godinne, Université Catholique de Louvain, 5530, Yvoir, Belgium. philippe.eloy@uclouvain.be
International Journal of Pediatric Otorhinolaryngology
|April 22, 2009
Summary
Endonasal endoscopic pediatric dacryocystorhinostomy (DCR) effectively treats congenital nasolacrimal duct obstruction unresponsive to other methods. This safe procedure offers high success rates in children, even those with craniofacial abnormalities.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Otolaryngology
Background:
- Congenital nasolacrimal duct obstruction (CNLDO) often requires surgical intervention when conservative treatments fail.
- Endonasal endoscopic dacryocystorhinostomy (DCR) is a minimally invasive surgical option for pediatric CNLDO.
- This study evaluates the efficacy of endonasal endoscopic pediatric DCR.
Observation:
- Eight children (mean age 4.3 years) underwent endonasal endoscopic DCR for persistent CNLDO.
- Three children had associated craniofacial abnormalities.
- Indications included primary low mechanical obstruction and one case of revision surgery for stoma closure.
Findings:
- Nine out of ten primary DCRs achieved complete symptom resolution.
- One primary case had transient epiphora during viral rhinitis.
- The revision DCR resulted in complete symptom relief.
Implications:
- Endonasal endoscopic pediatric DCR is a highly effective and safe treatment for refractory CNLDO in children.
- Inferior canaliculus stenosis may cause intermittent epiphora despite successful DCR.
- Craniofacial abnormalities are more prevalent in pediatric DCR candidates than in adults.
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