This is a case series with chart review from 1997 to 2010 to determine results of endoscopic dacryocystorhinostomy in children. Thirty-seven children underwent removal of the medial wall (RMW) of the lacrimal sac (LS) and 2 had lacrimal stents inserted because they had external fistulae and small cicatrized LS. Parameters of success were (1) resolution of epiphora, (2) no further attacks of dacryocystitis, and (3) patency of neofistula. Of the 37 (95%) children who had RMW of the LS, 34 (92%) were patent after 12 weeks and were considered successful. Three (8%) neofistulae obstructed within 2 weeks and needed revision, and 2 (5%) patients had small cicatrized LS along with fistula and were stented. The fistulae closed down in 4 weeks. However, when the stents were removed 6 weeks later, epiphora returned. The authors' experience reveals that removal of the medial wall of the LS is effective in stopping chronic epiphora.
A 36-year-old woman presents to the clinic and reports left-sided hearing loss. She first noticed it five days prior when she could not use the telephone on her left side. She notes a buzzing sound and "plugged" left ear. She says she does not have vertigo or neurologic symptoms. Examination by otoscopy is normal. There is lateralization to the right for the Weber test, and air conduction using a tuning fork (512 Hz) is greater than bone conduction bilaterally.
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