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Clinical Note
March 1998

Endonasal Endoscopic Dacryocystorhinostomy in Children

Author Affiliations

From the Departments of Otolaryngology (Dr Cunningham) and Ophthalmology (Dr Woog), Massachusetts Eye and Ear Infirmary, Boston.

Arch Otolaryngol Head Neck Surg. 1998;124(3):328-333. doi:10.1001/archotol.124.3.328

Objective  To describe the indications, technique, and results of endonasal endoscopic dacryocystorhinostomy in children with congenital and acquired disorders of the nasolacrimal system.

Design  Retrospective case series.

Setting  Tertiary care hospital.

Patients  Four children ranging in age from 10 months to 6 years.

Intervention  Primary or revision endonasal endoscopic dacryocystorhinostomy performed via a joint otolaryngologic-ophthalmologic team approach.

Main Outcome Measures  Incidence of surgical complications and postoperative clinical status.

Results  The duration of follow-up was 10 to 24 months with a successful clinical outcome in all 4 children. Two procedures were complicated by nasal vestibule skin abrasions secondary to rotation of the drill shaft.

Conclusions  Despite the technical challenges posed by the small anatomical dimensions of the pediatric nasal airway, the combination of proper otolaryngologic endoscopic instrumentation and ophthalmologic lacrimal sac transillumination guidance allows for the safe and successful performance of endonasal endoscopic dacryocystorhinostomy in the pediatric population.