Primary pediatric endonasal dacryocystorhinostomy—A review of 58 procedures

Silicone tube stenting in endonasal dacryocystorhinostomy

“…However, he did not report whether they were all primary cases. In fact, whereas avoiding stenting is in line with more recent evidence [2,3], silicone tubes are often employed in revision DCR [4].…”

“…When assessing the effect of any additional procedure or adjuvant on the surgical success rate in EN-DCR, the osteotomy size represents a fundamental factor as it can influence the success rate [4,6]. Therefore, we would stimulate Dr Saeed to provide some information in that respect.…”

Balloon Dacryoplasty in Internal Ostium Stenosis After Endoscopic Dacryocystorhinostomy

“…2-5 A significant proportion of patients may have persistent epiphora after initial EnDCR. Success rates of external and endoscopic approaches have been found to vary between 84.1% and 85% 1,6,7 and 76.5% and 84%, [6][7][8][9] respectively. Revision DCR can be surgically challenging because its success depends on identifying the causative factors and may necessitate additional procedures specific to them.…”

“…External dacryocystorhinostomy (EDCR) has been the gold standard with over 90% success, 1 while endoscopic dacryocystorhinostomy (EnDCR) rose to popularity due to its less invasive nature. 1,[6][7][8][9] Balloon dacryoplasty has existed for over 2 decades. [2][3][4][5] Inappropriately sized or located bony ostium, common canalicular obstruction, and scarring within the anastomosis were the most common causes of failure.…”

Use of endocanalicular dacryocystorhinostomy with multidiode laser in children

“…Minimally invasive surgery is well established in all areas of modern surgery. Since the advent of nasal endoscopy, a variety of techniques have been used in endoscopic dacryocystorhinostomy, and the endonasal approach being the most widely used [4,13,14]. Disadvantages of the endonasal method include orbital perforation multiple instrumentation inside the nose, and a long learning curve.…”