Endonasal dacryocystorhinostomy in children

AIM: To verify whether our results with endonasal endoscopic dacryocystorhinostomy in children with nasolacrimal duct obstruction allow us to consider this technique a valid treatment alternative for children. STUDY DESIGN: clinical with transversal cohort. MATERIAL AND METHOD: Twenty-seven endoscopic endonasal dacryocystorhinostomies were performed in children 2 to 12 years of age for nasolacrimal duct obstruction. Previous probings in all patients were unsuccessful. The technique employed uncinectomy and a small lacrimal sac opening. Follow-up time was 3 months. RESULTS: Twenty-one surgeries (77,8%) were successful. The only complication was silicone prolapse in one case. CONCLUSION: Our results confirm endoscopic endonasal dacryocystorhinostomy as an acceptable and safe method for treating children with nasolacrimal duct obstructions that are resistant to probings.