External versus endoscopic dacryocystorhinostomy for congenital nasolacrimal duct obstruction

Abozaid, Mortada A; Othman, Yosry

doi:10.4103/2090-0686.168718

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Potential complications of external DCR include bruising, wound infection, cerebrospinal fluid leaking, punctual eversion, inadvertent incision of periorbita. Our prospective study published in 2015, compared endoscopic and external DCR over a relatively short period (6 months) and concluded that the 2 approaches are equally effective in children with congenital NLD obstruction [7]. However, this study that included a larger number of cases and longer postoperative duration (3 years) suggests that endoscopic DCR offers less success rate -on the long term-than external DCR in managing children with congenital NLD obstruction.…”

Section: Discussionmentioning

confidence: 84%

“…However, the endonasal endoscopic dacryocystorhinostomy has become widely used nowadays [4].The reported success for pediatric external DCR has ranged from 83% [5] to 96% [6]. In 2015, we published the results of endonasal endoscopic DCR compared to the external approach in children with congenital nasolacrimal duct obstruction after a 6 month follow up period [7]. In this retrospective comparative study, we assessed the 3year results of pediatric DCR comparing the external versus endoscopic approaches.…”

Section: Introductionmentioning

confidence: 99%

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Three-Year Outcome of Pediatric Dacryocystorhinostomy for Treatment of Congenital Nasolacrimal Duct Obstruction

Abozaid

Abdelmonem

2018

Egyptian Journal of Clinical Ophthalmology

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Purpose: to retrospectively compare the success rates of external and endoscopic dacryocystorhinostomy (DCR) surgery performed for congenital nasolacrimal duct obstruction. Methods: 79 patients with congenital nasolacrimal duct obstruction that had either external DCR (41, group 1) or endoscopic DCR (38, group 2) and completed 3 year duration after surgery were included in this study. Results: 38 patients in group 1 (92.7%) and 30 patients in group 2 (78.9%) showed success of surgery after 3 years of surgery, defining success as relief of symptoms plus endoscopic visualization of the patent stoma (p value 0.079). Conclusion:Although the endoscopic approach of pediatric DCR has the advantages of the lack of skin incision, the preservation of the pump mechanism and the ability to address other nasal pathologies at the time of surgery, the external approach looks more successful on the long run.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Three-Year Outcome of Pediatric Dacryocystorhinostomy for Treatment of Congenital Nasolacrimal Duct Obstruction

Abozaid

Abdelmonem

2018

Egyptian Journal of Clinical Ophthalmology

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“…However, endoscopic DCR has become more common nowadays. 7,8 In the current work, we investigated the correlation between sinonasal pathologies and nasolacrimal disorders in patients with uni-or bilateral NLDO. 9,10 We evaluated the prevalence of sinonasal abnormalities of anatomical, inflammatory, or infectious etiology, such as polyps, nasal allergy, and adenoid hypertrophy observed.…”

Section: Introductionmentioning

confidence: 99%

Different Modalities for Management of Pediatric Epiphora

Hakeem¹,

Abdallah²,

Abdelmoneim³

et al. 2023

OPTH

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Objective This study assessed the efficacy and safety of different modalities for managing nasolacrimal duct obstruction and epiphora in children over one year. Methods We performed a non-randomized prospective study on 98 children (149 eyes) with epiphora and no history of lacrimal operation. The selected candidates attended the ENT and ophthalmology outpatient clinics of Minia University Hospital, seeking to treat epiphora that may or may not be associated with sinonasal pathology. Nasolacrimal operations involved a joint approach involving an otorhinolaryngologist and an ophthalmologist. Results Ninety-eight children (149 eyes) were identified. Ages varied from 1 to 12 years old. Conservative measures were successful in 32.6% of children. Silicone stents were used in 27.5% of the interventions with a mean time to removal of 3–6 months. The success rate for dacryocystorhinostomy (DCR) was 85.7%. Revision surgery was performed in 10% of probing cases, 8% of intubation cases, and 14.3% of DCR patients. The concomitant chronic sinonasal problems were evident in 62.2% of patients. Conclusion Conservative measures, probing, endonasal nasolacrimal intubation, endoscopic DCR, and external DCR are safe and effective procedures for epiphora in children. Also, correcting concomitant nasopharyngeal or sinonasal diseases in epiphora patients is crucial for successful management, overcoming recurrence, and minimizing morbidity.

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External versus endoscopic dacryocystorhinostomy for congenital nasolacrimal duct obstruction

Cited by 2 publications

References 8 publications

Three-Year Outcome of Pediatric Dacryocystorhinostomy for Treatment of Congenital Nasolacrimal Duct Obstruction

Three-Year Outcome of Pediatric Dacryocystorhinostomy for Treatment of Congenital Nasolacrimal Duct Obstruction

Different Modalities for Management of Pediatric Epiphora

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