Skip to main content
SpringerLink
Log in

A Prospective Longitudinal Study to Evaluate the Outcomes of Success of Endoscopic DCR in Pediatric Age Group

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Children with nasolacrimal duct obstruction (NLDO) have different therapeutic approach from that used in adults. Dacryocystorhinostomy (DCR) is the most common procedure in adults but it is less frequently carried out in children, indicated in children which are refractory to probing. The objective of the study is to report a series of 30 cases of paediatric epiphora who underwent endoscopic endonasal dacryocystorhinostomy surgery, for primary obstruction of nasolacrimal duct and results, outcomes of success are evaluated. This is a prospective and non-comparative review of 30 cases of epiphora aged between 3 and 9 years from April 2018 to March 2019. The main outcome measures assessed were determined by the resolution of symptoms and the patency of the lacrimal anatomy confirmed by syringing or irrigating the nasolacrimal duct. Secondary outcomes included the presence of such complications as bleeding, scarring, and/or persistent epiphora and infection. In our study 30 patients underwent unilateral DCR surgery in NLDO. Out of 30 patients males were 17 and females were 13. The overall success rate of endoscopic DCR was 90%, and failed cases were mainly due to pre-saccal obstruction. No major complications were reported, minor complications occurred in about 60% of cases. Analysis of the results indicated that EDCR was safe and an effective therapeutic approach for treating nasolacrimal duct obstruction in pediatric age group patients having NLDO. It’s considered as an alternative procedure to external dacryocystorhinostomy after a failed conservative treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Availability of data and material

Pro-forma of the data taken is filled for every patient and is available with the first author for review.

Code availability

Not applicable (no special Software used).

References

  1. MacEwen CJ, Young JD (1991) Epiphora during the first year of life. Eye (London) 5:596–600

    Article  Google Scholar 

  2. Sihota R, Tandon R (2011) Disease of lacrimal apparatus. Parson’s disease of eye. Elsevier, Amsterdam

    Google Scholar 

  3. Komínek P, Červenka S (2005) Pediatric endonasal dacryocystorhinostomy: a report of 34 cases. The Laryngoscope 115(10):1800–1803

    Article  Google Scholar 

  4. Freitag SK, Woog JJ (2000) Congenital nasolacrimal obstruction. Ophthalmol Clin 13(4):705–718

    Google Scholar 

  5. Gupta AK, Bansal S (2006) Primary endoscopic dacryocystorhinostomy in children: analysis of 18 patients. Int J Pediatr Otorhinolaryngol 70:1213–1217

    Article  Google Scholar 

  6. Cunningham MJ (2008) Endoscopic management of pediatric nasolacrimal Anomalies. Oper Tech Otorhinolaryngol 19:186–191

    Article  Google Scholar 

  7. Sonkhya N, Mishra P (2009) Endoscopic transnasal dacryocystorhinostomy with nasal mucosal and posterior lacrimal sac flap. J Laryngol Otol 123(3):320–326

    Article  CAS  Google Scholar 

  8. Komínek P, Cervenka S (2005) Pediatric endonasal dacryocystorhinostomy: a report of 34 cases. Laryngoscope 115(10):1800–1803. https://doi.org/10.1097/01.mlg.0000175678.73264.88

    Article  PubMed  Google Scholar 

  9. Berlucchi M, Staurenghi G, Rossi Brunori P, Tomenzoli D, Nicolai P (2003) Transnasal endoscopic dacryocystorhinostomy for the treatment of lacrimal pathway stenoses in pediatric patients. Int J Pediatr Otorhinolaryngol 67(10):1069–1074

    Article  Google Scholar 

  10. Woog JJ, Kennedy RH, Custer PL et al (2001) Endonasal dacryocystorhinostomy: a report by the American Academy of Ophthalmology. Ophthalmology 108:2369–2377

    Article  CAS  Google Scholar 

  11. Hartikainen J, Antila J, Varpula M et al (1998) Prospective randomised comparison of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy. Laryngoscope 108:1861–1866

    Article  CAS  Google Scholar 

  12. Jones DT, Fajardo NF, Petersen RA et al (2007) Pediatric endoscopic dacryocystorhinostomy failures: who and why? Laryngoscope 117:323–327

    Article  Google Scholar 

  13. Komínek P, Cervenka S, Matousek P, Pniak T, Zeleník K (2010) Primary pediatric endonasal dacryocystorhinostomy—a review of 58 procedures. Int J Pediatr Otorhinolaryngol 74(6):661–664. https://doi.org/10.1016/j.ijporl.2010.03.015

    Article  PubMed  Google Scholar 

  14. Cunningham MJ, Woog JJ (1998) Endonasal endoscopic dacryocystorhinostomy in children. Arch Otolaryngol Head Neck Surg 124(3):328–333

    Article  CAS  Google Scholar 

  15. Vanderveen DK, Jones DT, Tan H, Petersen RA (2001) Endoscopic dacryocystorhinostomy in children. J AAPOS 5(3):143–147. https://doi.org/10.1067/mpa.2001.114910

    Article  CAS  PubMed  Google Scholar 

  16. Eloy P, Leruth E, Cailliau A, Collet S, Bertrand B, Rombaux P (2009) Pediatric endonasal endoscopic dacryocystorhinostomy. Int J Pediatr Otorhinolaryngol 73(6):867–871. https://doi.org/10.1016/j.ijporl.2009.03.006

    Article  PubMed  Google Scholar 

  17. Moss SE, Klein R, Klein BE (2000) Prevalence and risk factors for dry eye syndrome. Arch Ophtalmol 118:1264–1268

    Article  CAS  Google Scholar 

  18. McDonogh M, Meiring JH (1989) Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol 103:585–587

    Article  CAS  Google Scholar 

  19. Bernal Sprekelsen M, Massegur H, Tomas M (2003) Endoscopic sinus surgery in children. Rev Laryngol Otol Rhinol 124:245–250

    Google Scholar 

  20. Marfatia H, Shah K, Patil S, Parmar Y (2017) Endonasal dacryocystorhinostomy in children: our experience. Int J Surg. 47:91–95. https://doi.org/10.1016/j.ijsu.2017.09.064.-0273-y

    Article  PubMed  Google Scholar 

Download references

Funding

NIL (Research was done in JLN Medical College and was ethically approved by Ethical Committee of JLN Medical College).

Author information

Authors and Affiliations

  1. Department of Otolaryngology, Jawaharlal Nehru Medical College, Near Kalabaug, Ajmer, Rajasthan, 305001, India

    Renu Poonia, Yogesh Aseri, Digvijay Singh Rawat & B. K. Singh

Authors
  1. Renu Poonia
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yogesh Aseri
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Digvijay Singh Rawat
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. K. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yogesh Aseri.

Ethics declarations

Conflicts of interest

Authors involved in this trial have no conflict of interest.

Research involving Human Participants

The Trial was approved from ethical point of view by Ethical Committee of JLN Medical College, Ajmer, Rajasthan.

Informed consent

Written-Informed consent taken from all patients in native language.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Poonia, R., Aseri, Y., Rawat, D.S. et al. A Prospective Longitudinal Study to Evaluate the Outcomes of Success of Endoscopic DCR in Pediatric Age Group. Indian J Otolaryngol Head Neck Surg 74, 18–22 (2022). https://doi.org/10.1007/s12070-020-02109-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-020-02109-z

Keywords

Search

Navigation