Dacryoendoscopic examination for location of internal orifice of congenital lacrimal fistula: A case series.

Int J Pediatr Otorhinolaryngol

Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi, Japan. Electronic address:

Published: December 2020

AI Article Synopsis

  • The study used a dacryoendoscope to investigate the internal orifice of congenital lacrimal fistulas in 5 patients.
  • A suture was successfully tracked from the skin opening into the lacrimal drainage system, reaching the lacrimal sac in all cases.
  • Findings indicate a greater likelihood of congenital lacrimal fistulas being connected to the lacrimal sac than previously thought, highlighting limitations in earlier identification methods.

Article Abstract

We examined the location of the internal orifice of congenital lacrimal fistula using a dacryoendoscope in 5 patients. A suture inserted from the skin orifice and passing into the lacrimal drainage system through the fistula track was identified using a dacryoendoscope. Consequently, the suture passed into the lacrimal sac in all patients. Although the internal orifice had been reported to be predominantly located in the common canaliculus, the methods previously used for identification of the internal orifice were less accurate. The results in our study suggest a higher incidence of congenital lacrimal fistulae connected with the lacrimal sac.

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http://dx.doi.org/10.1016/j.ijporl.2020.110408DOI Listing

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