Success Rates of Endoscopic-Assisted Probing Compared to Conventional Probing in Children 48 Months or Older

Galindo‐Ferreiro, Alicia; Khandekar, Rajiv; Akaishi, Patrícia; Cruz, Augusto; Galvez-Ruiz, Alberto; Dolmetsch, Angela; Schellini, Silvana Artioli

doi:10.1080/08820538.2017.1284872

Cited by 8 publications

(4 citation statements)

References 28 publications

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“…In addition, nasal endoscopy, which may help identify the cause of difficulty in probing or failure of the procedure, was not performed. However, our 90.5% success rate in the difficult cases where balloon dilation and silicone tube intubation were performed is comparable to the reported success rates in cases where endoscopic-assisted probing was performed [23]. Furthermore, nasal endoscopy is more expensive, extends anesthesia time, has a learning curve, and in some cases necessitates the help of an otolaryngologist.…”

Section: Discussionsupporting

confidence: 69%

Outcomes of Congenital Nasolacrimal Duct Obstruction Surgery Converted into Balloon Dilation and Silicone Intubation due to Probing Difficulty

Sagiv

Nemet

Achiron

et al. 2022

Journal of Ophthalmology

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Background. To report the outcomes of balloon catheter dilatation and silicone intubation as a sequential secondary surgery under the same anesthesia, a stepwise approach for congenital nasolacrimal duct obstruction (NLDO) when probing and irrigation as primary procedure fails. Methods. A retrospective study included children with NLDO who underwent probing and irrigation only, and those who underwent in the same surgery under anesthesia, adjunct balloon catheter dilation and silicone intubation due to difficulty of the probe passage or fluid regurgitation from the punctum. The primary outcome was surgical success defined as resolution of preoperative symptoms and signs at 1 month. Results. A total of 105 NLDO cases were included. Eighty-four cases underwent probing and irrigation only, whereas 21 cases required balloon dilation and silicone intubation consecutively after the first procedure. Patient age at surgery was higher for those requiring balloon dilatation and intubation (30.3 ± 8.0 months) when compared to those with probing and irrigation only (22.4 ± 10.3 months, p < 0.001 ). The onset of symptoms, preoperative clinical findings regarding tearing and discharge and gender distribution of patients were comparable between the two groups. During the follow-up, the overall success rate for probing and irrigation only was 76.2% (64 out of 84 cases) and for balloon dilatation and silicone tube intubation was 90.5% (19 out of 21 cases). Conclusions. The surgical team may prepare to proceed with secondary surgery under the same anesthesia after the initial attempt of probing and irrigation. This stepwise two-stage approach in patients with congenital NLDO failing primary surgery resulted in a high success rate with minimal interventions, avoiding repeated general anesthesia.

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Section: Discussionsupporting

confidence: 69%

Outcomes of Congenital Nasolacrimal Duct Obstruction Surgery Converted into Balloon Dilation and Silicone Intubation due to Probing Difficulty

Sagiv

Nemet

Achiron

et al. 2022

Journal of Ophthalmology

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“…these advantages make endoscopy assisted lacrimal probing much more effective than a conventional ('blind') probing [3,[8][9][10][11]. despite this, endoscopy assisted lacrimal probing is not a routine practice and is definitely much less commonly performed than conventional probing for many reasons.…”

Section: Resultsmentioning

confidence: 99%

“…in addition, galindo-Ferreiro et al, compared endoscopic assisted probing to conventional probing in children older than 48 months with 94.6% and 58.7% success rates in favor of endoscopic procedures. this study also included patients with a previous history of probing [10]. all the authors state that the use of an endoscope allows the identification of the site of obstruction and any coexisting intranasal anomaly.…”

Section: Discussionmentioning

confidence: 99%

Rhinoscopy assisted lacrimal probing – minimal invasive and effective therapeutic option for children with congenital nasolacrimal duct obstruction

Magdalena¹,

Pucher²,

Kałużna-Młynarczyk³

et al. 2018

fmpcr

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Background. congenital nasolacrimal duct obstruction (cnldo) is a common developmental anomaly, and in most cases, obstruction is located at the distal end of the nasolacrimal duct. the rate of spontaneous resolution of cnldo is up to 96% during the first year of life, and, therefore, most authors advise only medical treatment in the first months of life. when obstruction persists, lacrimal probing is performed. conventionally, the next steps in surgical treatment are lacrimal intubation and dacryocystorhinostomy. the intranasal approach was first proposed many years ago, but became possible only after the development of advanced endoscopic rhinosurgery. at present, it is widely used to treat cnldo. Objectives. to evaluate the effectiveness of rhinoscopy assisted lacrimal probing as a treatment for congenital nasolacrimal duct obstruction in children. Material and methods. we enrolled 14 children with cnldo to this case series study. all children underwent surgery between 01.03.2016 and 30.03.2018. data about symptoms and previous treatment were first collected, surgery was then performed, and all patients were then reexamined postoperatively and data about results recorded. Results. the age range was 6-152 months (median 30 months). Four (4) patients had no history of previous surgery, and ten (10) had undergone lacrimal probing before. the overall final success rate was 85.71% (12/14 patients, including 2 infants with dacryocystitis). Conclusions. in our group of patients, endoscopy assisted lacrimal probing is an effective method of treatment for cnldo. we suggest to use this method in cases of children older than 12 months with one or more unsuccessful probing, with infants with dacryocystitis, and always before considering dacryocystorhinostomy.

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“…Secondly, the fact that endoscopy was not used in the study can be considered a limitation. Although the early study about endoscopy-assisted probing concluded that endoscopy usage is not required in most cases [22], more recent studies reported positive results using endoscopy in CNLDO [23,24]. However, a recent survey from the United Kingdom showed that while 43.9% of oculoplastic consultants were using nasoendoscopy, only 12.9% of pediatric consultants were [25].…”

Section: Discussionmentioning

confidence: 99%

Effect of age on primary balloon dacryocystoplasty and probing success in congenital nasolacrimal duct obstruction

et al. 2022

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Purpose: To compare the success rates of balloon dacryocystoplasty (BDP) and probing as a primary procedure in congenital nasolacrimal duct obstruction (CNLDO) and investigate the effect of age on both procedures.Methods: A total of 135 patients (171 eyes) with simple or incomplete complex CNLDO were included in this retrospective study; complete complex CNLDO cases were excluded. The success rates for primary BDP (118 eyes) and for probing (53 eyes) were compared as overall and among the age groups; Group 1 (12-24 months old), Group 2 (25-36 months old), and Group 3 (> 36 months old).Results: Mean age of the patients was 41.5±27.2 months for primary BDP, and 21.8±10.8 months for probing (p<0.001). Overall success rates for primary BDP and probing were 81.1% (43/53) and 76.3% (90/118), respectively (p=0.481). Success rates for BDP and probing among age groups were, 93.8% and 85.3% in Group 1 (p=0.306), 93.3% and 50.0% in Group 2 (p=0.012), and 63.6% and 27.3% in Group 3 (p=0.052), respectively. Cox regression analysis showed that the median ages were 18 months for probing and 36 months for primary BDP. Poisson regression model showed that, for every one-month increase in patients' age, the success rate of probing decreased by 9.7%. Conclusion:Probing success decreased to a point where different treatment options such as primary BDP can be discussed with the patient's parents after 18 months of age. The success of BDP decreased after 36 months, while it maintained a high success rate between 24-36 months as primary treatment.

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Success Rates of Endoscopic-Assisted Probing Compared to Conventional Probing in Children 48 Months or Older

Abstract: Endoscopic-assisted probing can achieve better outcomes to treat CNLDO, even in older children. The significantly higher success rates with endoscopic probing are likely due to the ability to observe and treat associated problems.

Cited by 8 publications

References 28 publications

Outcomes of Congenital Nasolacrimal Duct Obstruction Surgery Converted into Balloon Dilation and Silicone Intubation due to Probing Difficulty

Outcomes of Congenital Nasolacrimal Duct Obstruction Surgery Converted into Balloon Dilation and Silicone Intubation due to Probing Difficulty

Rhinoscopy assisted lacrimal probing – minimal invasive and effective therapeutic option for children with congenital nasolacrimal duct obstruction

Effect of age on primary balloon dacryocystoplasty and probing success in congenital nasolacrimal duct obstruction

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