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Updated: May 10, 2026
07:30
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Pediatric endonasal endoscopic dacryocystorhinostomy
Fatih Celenk1, Semih Mumbuc, Cengiz Durucu
1Department of Otorhinolaryngology, Gaziantep University Faculty of Medicine, Turkey. facelenk@yahoo.com
Summary
Pediatric endoscopic dacryocystorhinostomy effectively treats persistent nasolacrimal duct obstruction in children. This safe procedure offers a high success rate with minimal complications for blocked tear ducts.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Nasolacrimal duct obstruction is common in children, often resolving spontaneously or with conservative management.
- Persistent epiphora necessitates surgical intervention, with dacryocystorhinostomy being a recommended option.
Purpose of the Study:
- To evaluate the efficacy and safety of pediatric endonasal endoscopic dacryocystorhinostomy.
- To report outcomes from 83 such procedures performed between 2000 and 2011.
Main Methods:
- Retrospective analysis of 71 children undergoing endonasal endoscopic dacryocystorhinostomy.
- Diagnosis confirmed by eye discharge, parental history, and lacrimal sac irrigation.
- Success defined by complete resolution of discharge and patent ostium one year post-surgery.
Main Results:
- 83 procedures were performed in 71 children (35 male, 36 female; age range 11 months to 14 years).
- Mean follow-up was 27.1 months.
- Overall success rate for primary endoscopic dacryocystorhinostomy was 92.7% with no major complications.
Conclusions:
- Pediatric endonasal endoscopic dacryocystorhinostomy is a safe and effective treatment for nasolacrimal system obstruction.
- The procedure demonstrates a high success rate and low complication incidence in cases unresponsive to conservative therapies.
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