The role of nasal endoscopy in repeat pediatric nasolacrimal duct probings

Gardiner, Joseph; Forte, Vito; Pashby, Robert C.; Levin, Alex V.

doi:10.1067/mpa.2001.114188

Cited by 35 publications

(23 citation statements)

References 29 publications

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“…The success rate of the procedure in children younger than 1 year of age is between 90% and 97% [7,9,10,8]. However, there is some debate in the literature regarding the effectiveness of primary probing in children older than 1 year [7,14].…”

Section: Discussionmentioning

confidence: 98%

“…Specifically, cases with tight inferior turbinates (Fig. 3) and large inferior conchae were infractured [10,15]. Redundant nasal mucosa was removed with the use of radiofrequencies.…”

Section: Methodsmentioning

confidence: 99%

“…However, there is still some controversy in the literature regarding the optimal age of probing. Some studies report high success rate 90-97% when probing is performed within the first year of life, decreasing with increasing age [7][8][9][10]14]. Some other studies claim that success is not dictated by the age of probing but by the type of obstruction [1,11,12].…”

Section: Introductionmentioning

confidence: 96%

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Results of endoscopic assisted probing for congenital nasolacrimal duct obstruction in older children

Kouri

Tsakanikos

Linardos

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 98%

“…Specifically, cases with tight inferior turbinates (Fig. 3) and large inferior conchae were infractured [10,15]. Redundant nasal mucosa was removed with the use of radiofrequencies.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Results of endoscopic assisted probing for congenital nasolacrimal duct obstruction in older children

Kouri

Tsakanikos

Linardos

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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“…This may explain why the success rates have been so variable between studies. Some series may have had a higher rate of undetected false passage formation and hence lower success rates, others having 19,20,[27][28][29] This technique allows better planning of the probing procedure with the option to carry out additional treatments, if required, under a single anaesthetic. In our study, treatments in the form of inferior turbinate infracture and 'cut down' were facilitated by the use of endoscopy, although children who had such treatments were not matched to any controls.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic-assisted probing for congenital nasolacrimal duct obstruction

Wallace

Cox

White

et al. 2005

Eye

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Purpose To determine the success rate of initial probing in children with congenital nasolacrimal duct obstruction (CNLDO) at different ages using nasal endoscopy, and to identify the anatomical sites of blockage within the drainage system. Methods A total of 87 eyes from 67 consecutive children with CNLDO underwent endoscopic nasolacrimal duct (NLD) probing under general anaesthetic. Patients who had had previous probings were excluded from the study. Diagnosis was based on history of epiphora since birth or shortly after, and fluorescein dye disappearance test (FDDT). Cure was judged as complete or near-complete remission of symptoms and signs and a normal FDDT. Results The age range was 12-91 months (mean 32.3 months). The success rates of probing were: 100% (58/58) for atresia and stenosis at the lower NLD, 100% (13/13) for punctal stenosis, 55.6% (5/9) for functional epiphora, and 0% (0/7) for canalicular and upper NLD obstruction. Age was not found to significantly affect the outcome of probing, whereas site did. Obstruction at canalicular or upper NLD level became more common with increasing age. Conclusion Probing of the nasolacrimal system using the endoscopic approach allows direct visualisation of the distal nasolacrimal duct, which facilitates diagnosis of the anomaly at this site. More complex proximal anomalies became increasingly prevalent in older children, which accounted for the poorer results with increasing age. Site of obstruction has a greater bearing on outcome than patient age.

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“…Nasal endoscopy might assist the inexperienced surgeon in preventing trauma to the nasal base and septal mucosa [16]. In order to achieve the best results in congenital nasolacrimal duct obstruction, the collaborative teamwork of an ophthalmologist and an otolaryngologist may be necessary [17,18].…”

Section: Discussionmentioning

confidence: 99%

Lacrimal Intubation with the Ritleng System in Recurrent Congenital Nasolacrimal Duct Obstruction in Children

Yalaz

Özcan²,

Akçalı³

et al. 2004

ORL

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Purpose: To evaluate the efficacy of the Ritleng lacrimal intubation system in the treatment of congenital nasolacrimal duct obstruction. Methods: Twenty-six patients (29 eyes) with congenital nasolacrimal duct obstruction, who ranged in age from 2 to 12 years (mean, 4.85 ± 2.9 years), underwent silicone intubation with the Ritleng lacrimal intubation system. The Ritleng lacrimal intubation system is composed of a Ritleng probe, a monofilament guide thread and a silicone tube. The prolene tip was removed from the inferior meatus with nasal endoscopy in 26 eyes, whereas this was done by using a Ritleng hook in 3. Clinical success was defined by the relief from symptoms and signs of obstruction. The tubes were left in place for an average of 6 months. The patients were followed up between 6 and 25 months (mean, 8.3 months). Results: All cases were successfully intubated with the Ritleng system. Two cases underwent reintubation because of tube dislocation during the first week. Granuloma developed at the edge of the inferior punctum in 1 case. We observed relief from symptoms in all cases. Conclusion: The Ritleng lacrimal intubation system is an easy, effective and nontraumatizing procedure for the treatment of congenital nasolacrimal duct obstruction.

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The role of nasal endoscopy in repeat pediatric nasolacrimal duct probings

Cited by 35 publications

References 29 publications

Results of endoscopic assisted probing for congenital nasolacrimal duct obstruction in older children

Results of endoscopic assisted probing for congenital nasolacrimal duct obstruction in older children

Endoscopic-assisted probing for congenital nasolacrimal duct obstruction

Lacrimal Intubation with the Ritleng System in Recurrent Congenital Nasolacrimal Duct Obstruction in Children

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