Pediatric Endoscopic Dacryocystorhinostomy

Souza, Chris E. de; Nisar, Jayesh; Souza, Rosemarie A. de

doi:10.1177/0194599812446679

Cited by 13 publications

(9 citation statements)

References 5 publications

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“…19,20 However, silicone intubation is a less invasive procedure compared with external or endonasal DCR. According to our results, in older children with persistent CNLDO, silicone intubation procedure may reduce the need for DCR, which has greater morbidity.…”

Section: Discussionmentioning

confidence: 99%

Nasolacrimal duct intubation in the treatment of congenital nasolacrimal duct obstruction in older children

Okumuş

Öner

Durucu

et al. 2015

Eye

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Section: Discussionmentioning

confidence: 99%

Nasolacrimal duct intubation in the treatment of congenital nasolacrimal duct obstruction in older children

Okumuş

Öner

Durucu

et al. 2015

Eye

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“…Children have small nasal cavities and some of them present with septal deviations, which makes this a more difficult procedure (6) . More bleeding after mucosal incision (7) is also expected in this group of patients, as well as difficult post-surgical hygiene (8) . Endoscopic dacryocystorhinostomy can lead to several complications, including orbital fat herniation (3) , orbital emphysema (5) , conjunctival fistula (9) , cicatrization complications (granuloma, synechiae) (2,3) and profuse hemorrhage (5) .…”

Section: Discussionmentioning

confidence: 79%

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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“…However, in patients with simple epiphora and more than 6 months of symptoms, success rate in placebo group and SI+MMC group was 29.4% and 71.4%, respectively. Ugurbas, et al used 0.5 mg/ml MMC for 2.5 minutes with good histopathologic effects [20]. You and Fang reported application of 0.2 mg/ml MMC and 0.5 mg/ml MMC for the same time of application (5 minutes) that yielded success rates of 100% and 94%, respectively, without any complication [6].…”

Section: Discussionmentioning

confidence: 99%

Closed Intubation with Mitomycin C Application for Nasolacrimal Duct Obstruction Patients beyond the Age of Two Years

Hossam¹

2018

OAJO

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Purpose: to explore safety and efficacy of adding Mitomycin C to intubation in prevention of recurrence and increasing the success rate of closed intubation in patients beyond the age of 2 years. Patients and methods: Prospective study included thirty eyes of 24 consecutive patients with tearing and discharges due to primary and acquired partial NLD obstruction, their ages were from 2.5 to 40 years, Male/Female ratio was 10/14. Probing of NLD with SI (which is soaked in Mitomycin C 0.2 mg/ml for 2 minutes) was done in all cases, but it was abandoned if the resistance or obstruction was too difficult to overcome or if excessive bleeding or a hard blind bony pouch at the end of the nasal lacrimal duct was found (5 patients). In these patients, DCR was performed, and these patients were excluded from our study. Results: The procedure was successful in 24 eyes and unsuccessful in 6 eyes. The mean age of the patients with unsuccessful outcomes was 22.4±3.4 years, whereas that of the patients with successful outcomes was 8.0±2.8 years and the difference was statistically significant (P=0.006). Gender and time at mean silicone tube removal (both P>0.05) were not statistically different. No serious intra-and/or post-operative complications including excessive bleeding, punctal damage, 'cheese wiring', dacryocystitis, or pyogenic granuloma formation were observed. Conclusion: The results of our prospective study showed that SI with MMC in patients with simple epiphora has a success rate of 80%. This success rate was achieved by other studies using SI alone, but in younger age group. In our study, we include elder patient group with almost the same success rate. So, we can conclude that MMC application during SI does not appear to have additional benefit over SI alone in young children with simple epiphora. While the application of MMC during SI would result in better efficacy compared to SI alone in older ages

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Pediatric Endoscopic Dacryocystorhinostomy

Cited by 13 publications

References 5 publications

Nasolacrimal duct intubation in the treatment of congenital nasolacrimal duct obstruction in older children

Nasolacrimal duct intubation in the treatment of congenital nasolacrimal duct obstruction in older children

Endonasal endoscopic dacryocystorhinostomy in the paediatric population

Closed Intubation with Mitomycin C Application for Nasolacrimal Duct Obstruction Patients beyond the Age of Two Years

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