Tags

Type your tag names separated by a space and hit enter

Endoscopic intranasal surgery for congenital nasolacrimal duct obstruction--a new approach.
Int J Pediatr Otorhinolaryngol. 2013 Jun; 77(6):918-21.IJ

Abstract

OBJECTIVE

Congenital nasolacrimal duct obstruction can be treated with a spectrum of techniques, starting with conservative massage to more invasive dacryocystorhinostomy. There has been controversy regarding the optimal treatment procedure. We introduced a unique technique to treat congenital nasolacrimal duct obstruction and analyzed its success rate and complications.

METHODS

In a retrospective study, we introduced the results of our technique. This technique consisted of endoscope guided inspection of the Hasner valve area, trial of irrigation, incision of the imperforate Hasner valve and irrigation again. If these maneuvers were not effective, more invasive procedure, probing under endoscopic control was done.

RESULTS

48 children (55 eyes) were included in the study. Complete improvement was achieved in 51/55 eyes (92.72% success rate). We did not encounter any early or late complication.

CONCLUSIONS

The great majority of the congenital nasolacrimal duct obstruction stem from Hasner valve area pathologies. The endoscopic intervention of this area is very effective and safe way of treatment. This technique should be added to the armamentarium of the congenital nasolacrimal duct obstruction treatment.

Authors+Show Affiliations

Department of Otorhinolaryngology Head and Neck Surgery, Ordu University Medical School, Ordu, Turkey. hakankorkmaz@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

23541294

Citation

Korkmaz, Hakan, et al. "Endoscopic Intranasal Surgery for Congenital Nasolacrimal Duct Obstruction--a New Approach." International Journal of Pediatric Otorhinolaryngology, vol. 77, no. 6, 2013, pp. 918-21.
Korkmaz H, Korkmaz M, Karakahya RH, et al. Endoscopic intranasal surgery for congenital nasolacrimal duct obstruction--a new approach. Int J Pediatr Otorhinolaryngol. 2013;77(6):918-21.
Korkmaz, H., Korkmaz, M., Karakahya, R. H., & Serhatlı, M. (2013). Endoscopic intranasal surgery for congenital nasolacrimal duct obstruction--a new approach. International Journal of Pediatric Otorhinolaryngology, 77(6), 918-21. https://doi.org/10.1016/j.ijporl.2013.03.005
Korkmaz H, et al. Endoscopic Intranasal Surgery for Congenital Nasolacrimal Duct Obstruction--a New Approach. Int J Pediatr Otorhinolaryngol. 2013;77(6):918-21. PubMed PMID: 23541294.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic intranasal surgery for congenital nasolacrimal duct obstruction--a new approach. AU - Korkmaz,Hakan, AU - Korkmaz,Mukadder, AU - Karakahya,Refika Hande, AU - Serhatlı,Mahmut, Y1 - 2013/03/26/ PY - 2013/01/04/received PY - 2013/02/26/revised PY - 2013/03/02/accepted PY - 2013/4/2/entrez PY - 2013/4/2/pubmed PY - 2014/2/15/medline SP - 918 EP - 21 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 77 IS - 6 N2 - OBJECTIVE: Congenital nasolacrimal duct obstruction can be treated with a spectrum of techniques, starting with conservative massage to more invasive dacryocystorhinostomy. There has been controversy regarding the optimal treatment procedure. We introduced a unique technique to treat congenital nasolacrimal duct obstruction and analyzed its success rate and complications. METHODS: In a retrospective study, we introduced the results of our technique. This technique consisted of endoscope guided inspection of the Hasner valve area, trial of irrigation, incision of the imperforate Hasner valve and irrigation again. If these maneuvers were not effective, more invasive procedure, probing under endoscopic control was done. RESULTS: 48 children (55 eyes) were included in the study. Complete improvement was achieved in 51/55 eyes (92.72% success rate). We did not encounter any early or late complication. CONCLUSIONS: The great majority of the congenital nasolacrimal duct obstruction stem from Hasner valve area pathologies. The endoscopic intervention of this area is very effective and safe way of treatment. This technique should be added to the armamentarium of the congenital nasolacrimal duct obstruction treatment. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/23541294/Endoscopic_intranasal_surgery_for_congenital_nasolacrimal_duct_obstruction__a_new_approach_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(13)00090-6 DB - PRIME DP - Unbound Medicine ER -