Endonasal Endoscopic Dacryocystorhinostomy in a Four-Month-Old Infant

Abstract

The authors present a case of endonasal endoscopic dacryocystorhinostomy in a 4-month-old girl suffering from remarkable epiphora, persistent bulging and recurrent abscesses in the medial canthal region of the left eye. All conservative therapeutic attempts failed. Several external incisions were performed in order to solve the acute phases of the inflamed lacrimal sac. The procedure was performed by means of otologic microsurgical instruments under endoscopic control. No silicone stent was used. Ten months after surgery, the girl is doing very well.

Pediatric Endonasal Dacryocystorhinostomy: A Report of 34 Cases

“…We believe that an endonasal approach can be successfully carried out without any complications in children younger than 1 year. Mladina et al 9 reported a EDCR performed in 4‐month‐old child. We performed the surgery in six children under 1 year of age with severe dacryocystitis.…”

“…Dacryocystitis and epiphora at the pediatric age are usually cured with conservative medical therapy, massage, antibiotics, probing, and silicone intubation, if necessary, and these are usually effective. [1][2][3][4][5][6][7][8][9] Dacryocystorhinostomy (DCR) is only seldom needed in recalcitrant cases and some traumatic injuries. 2,3,6,7,10 -12 We report our experience with endonasal DCRs (EDCRs) in 34 procedures.…”