Endoscopic intranasal surgery for congenital nasolacrimal duct obstruction—A new approach

Korkmaz, Hakan; Korkmaz, Mukadder; Karakahya, Refika Hande; Serhatlı, Mahmut

doi:10.1016/j.ijporl.2013.03.005

Cited by 12 publications

(6 citation statements)

References 24 publications

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“…[18] Similarly, endoscopic intranasal surgery showed a 92.72% success rate without recorded early and late complications and is a suitable modality of treating congenital NLDO. [19] Endonasal DCR can be performed as a primary or revision procedure in cases of failed external DCR with favorable outcome. [20] Some studies suggest that outcome of endoscopic DCR is similar to that of external DCR.…”

Section: Discussionmentioning

confidence: 99%

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Abdu

Salisu

2014

Ann Afr Med

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There were 17 patients, 9 males and 8 females (M: F = 1.1: 1). Two patients (11.8%) had bilateral disease and 15 (88.2%) were unilateral. The patients' ages ranged between 2 and 10 years. The commonest presenting features were tearing and discharge. In 14 patients (82%) tearing started from birth though patients presented much later. Congenital NLDO occurred in 82%, and in the remaining 18%, obstruction was caused by depressed nasal fracture. Fifteen patients (88%) had successful outcome of DCR at 1-year follow-up. The commonest complication noted was stent extrusion before 6 weeks in 17.6% of cases. Conclusion : NLDO was mostly of congenital origin and was characterized by delayed presentation. Patients have good outcome with external DCR.

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Section: Discussionmentioning

confidence: 99%

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Abdu

Salisu

2014

Ann Afr Med

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“…Proposed by Korkmaz, this new technique consists in an endoscope-guided inspection of the Hasner valve area, irrigation, incision of the imperforate Hasner membrane valve and again irrigation. The success rate is 92.72% [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

Insights in the treatment of congenital nasolacrimal duct obstruction

Avram¹

2017

rjo

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Introduction: Congenital nasolacrimal duct obstruction is one of the most common causes of epiphora in newborns and the main cause of this condition is the persistence of Hasner membrane. Several treatment options are available, like conservative treatment, probing, irrigation, or more complex techniques. Objective: The objective of this paper is to discuss the efficiency of different treatment options addressing congenital nasolacrimal duct obstruction based on trials reported in literature. Methods: Clinical trials were identified on PubMed. The results were discussed regarding patient age, type of treatment and efficiency of the treatment. Results: 41 trials were reviewed. The rate of resolution according to different treatment options was the following: conservative treatment 14.2-96%, probing 78-100%, irrigation 33-100%, silicon tube intubation 62-100%, inferior turbinate fracture 54.7-97%, balloon dacryocystoplasty 77%, endoscopic intranasal surgery 92.72%, and dacryocystorhinostomy 88.2-93.33%. Conclusions: The first choice in uncomplicated cases should be a conservative treatment, which can be followed until the age of 1 year, while in complicated cases other solutions should be considered.

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“…33 Use of CT and magnetic resonance (MR) dacryocystography has also been reported. Advantages of MR dacryocystography are (1) the avoidance of ionizing radiation to the lens as in cases in which the absorbed dose of MR dacryocystography is 0.04-0.2 mSv, whereas it is 1.8-2.6 mSv with CT dacryocystography; (2) the precise, detailed information it provides; (3) avoidance of a conjunctival reaction; and (4) no lesions of the canaliculi when gado- Berlucci et al 17 6 None - 4 Leibovitch et al 18 21 None - 5 Jones et al 14 34 3 EDCR (8.8) 1 Failure (repeated EDCR performed), resolution of symptoms 6 Saeed and Tawalbeh 19 50 None -7 Dolmetsch et al 13 60 3 EDCR 51 Failure (external DCR done), resolution of symptoms 8…”

Section: Discussionmentioning

confidence: 99%

“…A new endoscopic technique that consists of endoscopy-guided inspection of the Hasner valve area, a trial of irrigation, incision of the imperforate Hasner valve, followed by reirrigation has been proposed. 34 Probing under endoscopic guidance was carried out in patients in cases in which the technique failed. This study had a remarkable success rate of 92.7%, with no major or minor complications.…”

Section: Discussionmentioning

confidence: 99%

Primary Endoscopic Endonasal Dacryocystorhinostomy for Pediatric Nasolacrimal Duct Obstruction: A Systematic Review

Saniasiaya

Abdullah

Husain

et al. 2017

Am J Rhinol�Allergy

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Endoscopic intranasal surgery for congenital nasolacrimal duct obstruction—A new approach

Cited by 12 publications

References 24 publications

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Insights in the treatment of congenital nasolacrimal duct obstruction

Primary Endoscopic Endonasal Dacryocystorhinostomy for Pediatric Nasolacrimal Duct Obstruction: A Systematic Review

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