Miloš Fischer1,2, Iris-Susanne Horn3, Mathias Otto4, Mandy Pirlich5, Andreas Dietz3, Christian Mozet3,6. 1. Clinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University Hospital Leipzig, Leipzig, Germany. milos.fischer@sbk-vs.de. 2. Department of ENT, Head & Neck Surgery, Schwarzwald-Baar Klinikum Villingen-Schwenningen, Klinikstr. 11, Villingen-Schwenningen, 78052, Germany. milos.fischer@sbk-vs.de. 3. Clinic of Otolaryngology, Head and Neck Surgery and Department of Head Medicine and Oral Health, University Hospital Leipzig, Leipzig, Germany. 4. Clinic of Ophthalmology and Department of Head Medicine and Oral Health, University Hospital Leipzig, Leipzig, Germany. 5. Department of Neurology, University Hospital Leipzig, Leipzig, Germany. 6. Department of ENT, Head & Neck Surgery, Schwarzwald-Baar Klinikum Villingen-Schwenningen, Klinikstr. 11, Villingen-Schwenningen, 78052, Germany.
Abstract
BACKGROUND: Pediatric nasolacrimal duct obstruction (PNDO) requires therapeutic intervention after conservative procedures failed. As resilient treatment guidelines for the treatment are missing, the aim of this study was to evaluate the advantages of two different intervention techniques in children with PNDO. METHODS: Between January, 2006 and June, 2014, 233 children (0-208 months) were treated either with conventional probing by ophthalmologists only (Group I) or with endonasal endoscopic interdisciplinary approach (Group II). The clinical outcome was analyzed. RESULTS: The overall success rate of Group I was 93.4% compared to 98.4% of Group II (P<0.05). 50% of all interventions (n=62) of Group II required further surgical procedures in addition to probing/irrigation, particularly with regard to children <6 and >24 months. CONCLUSIONS: Endoscopic control in treatment of PNDO allows exact identification of the stenosis and appropriate surgical intervention with an improved clinical outcome. Endonasal endoscopic surgical techniques should be the standard PNDO treatment.
BACKGROUND: Pediatric nasolacrimal duct obstruction (PNDO) requires therapeutic intervention after conservative procedures failed. As resilient treatment guidelines for the treatment are missing, the aim of this study was to evaluate the advantages of two different intervention techniques in children with PNDO. METHODS: Between January, 2006 and June, 2014, 233 children (0-208 months) were treated either with conventional probing by ophthalmologists only (Group I) or with endonasal endoscopic interdisciplinary approach (Group II). The clinical outcome was analyzed. RESULTS: The overall success rate of Group I was 93.4% compared to 98.4% of Group II (P<0.05). 50% of all interventions (n=62) of Group II required further surgical procedures in addition to probing/irrigation, particularly with regard to children <6 and >24 months. CONCLUSIONS: Endoscopic control in treatment of PNDO allows exact identification of the stenosis and appropriate surgical intervention with an improved clinical outcome. Endonasal endoscopic surgical techniques should be the standard PNDO treatment.
Authors: Pavel Komínek; Stanislav Cervenka; Petr Matousek; Tomás Pniak; Karol Zeleník Journal: Int J Pediatr Otorhinolaryngol Date: 2010-04-03 Impact factor: 1.675
Authors: A S Kouri; M Tsakanikos; E Linardos; G Nikolaidou; I Psarommatis Journal: Int J Pediatr Otorhinolaryngol Date: 2008-04-25 Impact factor: 1.675