Endonasal Endoscopic Dacryocystorhinostomy in Children

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Abstract
ObjectiveTo describe the indications, technique, and results of endonasal endoscopic dacryocystorhinostomy in children with congenital and acquired disorders of the nasolacrimal system.DesignRetrospective case series.SettingTertiary care hospital.PatientsFour children ranging in age from 10 months to 6 years.InterventionPrimary or revision endonasal endoscopic dacryocystorhinostomy performed via a joint otolaryngologic-ophthalmologic team approach.Main Outcome MeasuresIncidence of surgical complications and postoperative clinical status.ResultsThe 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.ConclusionsDespite 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.

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