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Pediatric endonasal dacryocystorhinostomy and operative standardization.
J Fr Ophtalmol
April 2019
Service d'ophtalmologie, hôpital universitaire, Necker-Enfants-Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université Paris V René Descartes, 12, rue de l'École-de-Médecine, 75006 Paris, France.
Objective: The objective of this study was to confirm that the standardized endonasal dacryocystorhinostomy (DCR) technique routinely performed in adults can be used in children.
Materials And Methods: A consecutive series of children undergoing endonasal DCR between 2003 and 2017 was analysed. The surgical procedure consisted of: preoperative CT scan, anatomical localization of the ideal surgical zone, access to the nasal cavity via an optional planned enlargement, creation of a mucoperiosteal flap, osteotomy with rongeurs and equatorial resection of the medial wall of the lacrimal sac.
Insertion of a preloaded Monoka™ stent for congenital nasolacrimal obstruction: Intraoperative observations. A preliminary study.
J Fr Ophtalmol
March 2019
Department of ophthalmology, Hôpital Necker-Enfants malades, 149, rue de Sèvres, 75015 Paris, France.
Study Objective: To study the intraoperative deployment of a pre-loaded probe for a "pushed" monocanalicular nasolacrimal intubation.
Study Design: Non-randomized study of consecutive cases.
Materials And Methods: Description: A classical Monoka™ silicone stent with the silicone tube attached at right angles to the punctal plug is contained entirely inside an introducer connected to a piston.
Intralacrimal migration of Masterka stents.
J Fr Ophtalmol
March 2018
Ophthalmology Department, University Hospital Necker-Enfants malades, AP-HP, Paris V René Descartes University, 149, rue de Sèvres, 75015 Paris, France; CNRS Research Unit FR3636, Paris V University, 75005 Paris, France.
Background: Tearing and conjunctivitis in children are commonly due to lacrimal drainage system obstruction. Congenital nasolacrimal obstruction is a common pathology treated by probing with or without silicone stent insertion, depending upon the age of the child. The silicone stent is self-retaining and placed for at least one month.
View Article and Find Full Text PDFEndoscopic intranasal surgery for congenital nasolacrimal duct obstruction--a new approach.
Int J Pediatr Otorhinolaryngol
June 2013
Department of Otorhinolaryngology Head and Neck Surgery, Ordu University Medical School, Ordu, Turkey.
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.
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