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Oculofacial, Orbital, and Lacrimal Surgery pp 503–506Cite as

Pediatric Endonasal Dacryocystorhinostomy

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Abstract

Congenital nasolacrimal duct obstruction most often resolves spontaneously or following nasolacrimal probing with or without silicone intubation. If probing and intubation fail to resolve tearing in children with nasolacrimal duct obstruction, dacryocystorhinostomy is indicated. This may be performed either externally or endonasally. An endonasal approach has the advantages of no external scarring, shorter recovery time, and preservation of the lacrimal pump with a comparable success rate to external dacryocystorhinostomy. Unique anatomical considerations when performing endonasal dacryocystorhinostomy in children include the lower insertion of the cribriform plate and smaller overall dimensions of the nasal passages. Complications of endonasal DCR include extrusion of the silicone intubation tube, synechiae or granuloma formation, and nasal vestibule abrasion.

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References

  1. Petersen RA, Robb RM. The natural course of congenital obstruction of the nasolacrimal duct. J Pediatr Ophthalmol Strabismus. 1978;15(4):246–50.

    Google Scholar 

  2. Paul TO, Shepherd R. Congenital nasolacrimal duct obstruction: natural history and the timing of optimal intervention. J Pediatr Ophthalmol Strabismus. 1994;31(6):362–7.

    Google Scholar 

  3. Hakin KN, Sullivan TJ, Sharma A, Welham RA. Paediatric dacryocystorhinostomy. Aust N Z J Ophthalmol. 1994;22(4):231–5.

    Article  CAS  Google Scholar 

  4. Welham RA, Hughes SM. Lacrimal surgery in children. Am J Ophthalmol. 1985;99(1):27–34.

    Article  CAS  Google Scholar 

  5. Nowinski TS, Flanagan JC, Mauriello J. Pediatric dacryocystorhinostomy. Arch Ophthalmol (Chicago, Ill 1960). 1985;103(8):1226–8.

    Article  CAS  Google Scholar 

  6. Chan W, Wilcsek G, Ghabrial R, Goldberg RA, Dolman P, Selva D, et al. Pediatric endonasal dacryocystorhinostomy: a multicenter series of 116 cases. Orbit. 2017;36(5):311–6.

    Article  Google Scholar 

  7. de Souza CE, Nisar J, de Souza RA. Pediatric endoscopic dacryocystorhinostomy. Otolaryngol Neck Surg. 2012;147(2):335–7.

    Article  Google Scholar 

  8. Komínek P, Červenka S, Matoušek P, Pniak T, Zeleník K. Primary pediatric endonasal dacryocystorhinostomy – a review of 58 procedures. Int J Pediatr Otorhinolaryngol. 2010;74(6):661–4.

    Article  Google Scholar 

  9. Leibovitch I, Selva D, Tsirbas A, Greenrod E, Pater J, Wormald PJ. Paediatric endoscopic endonasal dacryocystorhinostomy in congenital nasolacrimal duct obstruction. Graefes Arch Clin Exp Ophthalmol. 2006;244(10):1250–4.

    Article  Google Scholar 

  10. Gupta AK, Bansal S. Primary endoscopic dacryocystorhinostomy in children – analysis of 18 patients. Int J Pediatr Otorhinolaryngol. 2006;70(7):1213–7.

    Article  Google Scholar 

  11. Celenk F, Mumbuc S, Durucu C, Karatas ZA, Aytaç I, Baysal E, et al. Pediatric endonasal endoscopic dacryocystorhinostomy. Int J Pediatr Otorhinolaryngol. 2013;77(8):1259–62.

    Article  Google Scholar 

  12. Javate RM, Campomanes BS, Co ND, Dinglasan JL, Go CG, Tan EN, et al. The endoscope and the radiofrequency unit in DCR surgery. Ophthal Plast Reconstr Surg. 1995;11(1):54–8.

    Article  CAS  Google Scholar 

  13. Kong YT, Kim TI, Kong BW. A report of 131 cases of endoscopic laser lacrimal surgery. Ophthalmology. 1994;101(11):1793–800.

    Article  CAS  Google Scholar 

  14. Tsirbas A, Wormald PJ. Endonasal dacryocystorhinostomy with mucosal flaps. Am J Ophthalmol. 2003;135(1):76–83.

    Article  Google Scholar 

  15. Codère F, Denton P, Corona J. Endonasal dacryocystorhinostomy: a modified technique with preservation of the nasal and lacrimal mucosa. Ophthalmic Plast Reconstr Surg. 2010;26(3):161–4.

    Article  Google Scholar 

  16. Dolmetsch AM, Gallon MA, Holds JB. Nonlaser endoscopic endonasal dacryocystorhinostomy with adjunctive mitomycin C in children. Ophthalmic Plast Reconstr Surg. 2008;24(5):390–3.

    Article  Google Scholar 

  17. Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Re M. The outcomes of endoscopic dacryocystorhinostomy in children: a systematic review. Int J Pediatr Otorhinolaryngol. 2015;79(7):947–52.

    Article  Google Scholar 

  18. Jones DT, Fajardo NF, Petersen RA, VanderVeen DK. Pediatric endoscopic dacryocystorhinostomy failures: who and why? Laryngoscope. 2007;117(2):323–7.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, University of Minnesota, Minneapolis, MN, USA

    Krista Stewart & Andrew R. Harrison

Authors
  1. Krista Stewart
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  2. Andrew R. Harrison
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Corresponding author

Correspondence to Andrew R. Harrison .

Editor information

Editors and Affiliations

  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

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Stewart, K., Harrison, A.R. (2019). Pediatric Endonasal Dacryocystorhinostomy. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_44

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  • DOI: https://doi.org/10.1007/978-3-030-14092-2_44

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14090-8

  • Online ISBN: 978-3-030-14092-2

  • eBook Packages: MedicineMedicine (R0)

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