Cystic dilation of the distal end of the nasolacrimal duct: underrated cause of epiphora in adults and its endoscopic treatment.

Epiphora is a frequent reason for ophthalmologic consultation. Among the multiple causes, obstructions of the lacrimal excretory system are common. Sacal and postsacal obstructions are much more frequent than presacal obstructions.

Consensus in rhinoplasty.

Reading textbooks or manuals about rhinoplasty techniques, the novice may be disconcerted by the multitude of different surgical manoeuvres, all intended to achieve the same result: a cosmetically appealing and functional nose. This article describes a survey of 30 rhinoplasticians that investigated, using a questionnaire with 51 items, current opinion and practice in rhinoplasty with the aim of identifying areas of consensus or disagreement. Only 16 questions in 51 (31%) identified a strong consensus, mainly in the areas of informed consent, lateral osteotomies, and the accuracy and predictability of some graft procedures (columellar strut, spreader graft).

Successful endonasal dacryocystorhinostomy in a patient with Wegener's granulomatosis.

Wegener's granulomatosis (WG) is one form of idiopathic autoimmune vasculitis. The disease has a predilection for the upper and lower respiratory tracts (lungs, nose, sinus), and kidneys. WG may be systemic, severe, and potentially lethal, but it may also be limited to the otolaryngological area or to the eyes and the orbits.

Endonasal endoscopic dacryocystorhinostomy for a primary dacryocystocele in an adult.

A dacryocystocele refers to a sterile cystic dilatation of the lacrimal sac resulting from a complete obstruction of the lacrimal pathway above and below the lacrimal sac. In most cases, it is a congenital disorder that typically occurs in neonates. It is characterized by a bluish cystic swelling just below the medial canthus accompanied by epiphora.

Pediatric endonasal endoscopic dacryocystorhinostomy.

Dacryocystorhinostomy (DCR) in children is indicated in cases of common congenital nasolacrimal duct obstruction (CNLDO) unresponsive to medical therapy, probing or intubation. The purpose of this manuscript is to evaluate the effectiveness of endonasal endoscopic pediatric DCR. The authors present a series of eight children (seven boys and one girl) who underwent a pediatric endonasal DCR between September 2007 and December 2008.