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Management of Pediatric Lower System Problems: Dacryocystorhinostomy

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Pediatric Oculoplastic Surgery

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Abstract

The dacryocystorhinostomy (DCR) procedure in pediatric patients is especially challenging due to the smaller anatomy. This surgery, however, is often necessary in the setting of failed lesser invasive procedures, such as stenting or balloon dacryoplasty. The choice on an external versus endonasal approach for a DCR is ultimately the surgeon’s choice. With the advances in modern endonasal imaging and powered instruments, such as the ultrasonic bone aspirator and endonasal microdebrider, the endonasal endoscopic DCR can be performed with comparable rates of success to the external approach. This chapter addresses both the techniques of external and endonasal endoscopic DCR.

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Authors and Affiliations

  1. The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania, Philadelphia, PA, USA

    William R. Katowitz MD

  2. Ophthalmology, The Everett Clinic, Seattle, WA, USA

    Yasmin S. Chambers

  3. Oculofacial Plastic and Reconstructive Surgery, Rostami Oculo-facial Plastic Consultants, Sanctuary Cosmetic Center, Reston, VA, USA

    Maryam Nazemzadeh

Authors
  1. William R. Katowitz MD
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  2. Yasmin S. Chambers
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  3. Maryam Nazemzadeh
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Corresponding author

Correspondence to Yasmin S. Chambers .

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Editors and Affiliations

  1. Professor Emeritus of Ophthalmology and Director of Oculoplastic and Orbital Surgery, The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, Pennsylvania, USA

    James A. Katowitz

  2. Associate Professor of Clinical Ophthalmology and Director of the Oculoplastic and Orbital Surgery Fellowship Program, The Children’s Hospital of Philadelphia and The Edwin and Fannie Gray Hall Center for Human Appearance, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    William R. Katowitz

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Katowitz, W.R., Chambers, Y.S., Nazemzadeh, M. (2018). Management of Pediatric Lower System Problems: Dacryocystorhinostomy. In: Katowitz, J., Katowitz, W. (eds) Pediatric Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-60814-3_28

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  • DOI: https://doi.org/10.1007/978-3-319-60814-3_28

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60812-9

  • Online ISBN: 978-3-319-60814-3

  • eBook Packages: MedicineMedicine (R0)

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