Endonasal dacryocystorhinostomy in children

Knijnik, Denis

doi:10.1016/s1808-8694(15)31239-8

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…Knijnik 5 reported complete relief of symptoms in 77.8% patients, Leibovitch et al 9 in 92.3% of patients, and Komínek and Cervenka 6 in 88.7%. Success rates in other studies were 100% as reported by Berlucchi et al, 4 94.4% by Gupta and Bansal, 7 and 91% by Eloy et al 1 In terms of external dacryocystorhinostomy, Maheshwari 17 reported a success rate of 97.5%, and Barnes et al 18 a success rate of 96%.…”

Section: Discussionmentioning

confidence: 93%

“…14 While many studies of endoscopic dacryocystorhinostomy in adults are available in the literature, only a few reports of endonasal dacryocystorhinostomy in children have been published, with reported success rates of 82 to 88%. 1,[3][4][5][6][7][8][9][10] Intraoperatively, pediatric dacryocystorhinostomy can be bloodier than the procedure in adults, particularly at the beginning of the procedure when the nasal mucosa is resected. Also, suction is less effective in children.…”

Section: Discussionmentioning

confidence: 99%

“…7 Spontaneous stent extrusion was also reported by Knijnik. 5 Cunningham and Woog reported abrasion of the nasal vestibule secondary to drill-shaft rotation with the potential subsequent development of a hypertrophied scar. 3 Since then, this problem has been resolved by the use of powered instrumentation in which the shaft does not rotate for lacrimal bone removal.…”

Section: Discussionmentioning

confidence: 99%

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Results of Endonasal Dacryocystorhinostomy in Pediatric Patients

et al. 2017

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We conducted a prospective interventional study to evaluate the role of endoscopic endonasal dacryocystorhinostomy in children. Our study population was made up of 20 patients-18 boys and 2 girls, aged 2 to 12 years (mean: 5.3)-who presented with signs and symptoms suggestive of nasolacrimal duct blockage that was refractory to conventional medical treatment. In all cases, blockage was confirmed by nasolacrimal duct syringing that demonstrated regurgitation from the opposite punctum. The primary outcome measures for success were resolution of symptoms and duct patency on lacrimal irrigation. At 6 months, 17 patients (85%) experienced complete symptomatic relief, 1 (5%) had partial relief, and 2 (10%) reported no relief. Moreover, the nasolacrimal duct was patent in 17 patients, partially patent in 2, and blocked in 1. We conclude that endoscopic endonasal dacryocystorhinostomy is a safe and effective procedure in children with nasolacrimal duct blockage when medical therapy and probing have been unsuccessful.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Results of Endonasal Dacryocystorhinostomy in Pediatric Patients

et al. 2017

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“…Kominek et al (3) reported a 92.2% success rate. In another study, Knijnik (4) reported that 77.8% of primary endonasal endoscopic dacryocystorhinostomy procedures were successful. A total of 94.4% fulfilled the success criteria in another study (5) .…”

Section: Discussionmentioning

confidence: 99%

Endonasal endoscopic dacryocystorhinostomy in the paediatric population

Moreira¹,

Correia²,

Cunha³

et al. 2019

RHINOL

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Background: Congenital nasolacrimal duct obstruction is frequent and paediatric endonasal endoscopic dacryocystorhinostomy (DCR) is increasingly used after conservative treatment failure. Methodology: Retrospective noncomparative case series study was conducted from January 2007 to August 2017. Patients under 18 years old with nasolacrimal system obstruction who underwent endoscopic DCR were studied. All children were referred to our otorhinolaryngology department in a tertiary referral paediatric hospital. Population characteristics, presentation symptoms, success rate and predictive factors for failure were analysed. Results: 30 children were identified. Ages varied from 2 to 13 years old. Simultaneous bilateral surgery was performed in 5/30 (16,7%) children. Silicone stents were used in 93% of interventions with a mean time to removal of 9,6 weeks. Persistent epiphora was found in 43% of children and recurrent dacryocystitis in 57%. Success rate for primary DCR was 83,3%. Revision surgery was performed in 16,7% of cases. Minor complications rate was 13,3%. The presence of concomitant chronic nasal infections pointed for surgery failure reaching statistical significant value (p=0.0456). Conclusions: Paediatric endonasal endoscopic DCR seems to be an effective, safe and minimally invasive technique for the treatment of mechanical nasolacrimal system obstruction.

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“…The first modern external DCR operation was realised by Toti in 1904 (2). In parallel with the medical-technological developments of the last decade, an extraordinary increase is being observed in the EDCR practices (4,5). In this study, we have evaluated the success rates of the cases on which bicanalicular silicon application was performed and those on which bicanalicular slicon application was not performed as well as the success rates of the cases to which T-tube was inserted to the lacrimal sac in company with the literature.…”

Section: Introductionmentioning

confidence: 99%