Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (2): 71-74.doi: 10.6040/j.issn.1673-3770.0.2021.530

• 论著 • Previous Articles    

Nasolacrimal duct recanalization under nasal endoscopy for neonatal dacryocystitis

LV Ping1, LI Dandan1, SONG Wei1, HONG Liu2   

  1. 1. Department of Otorhinolaryngology, Dalian Municipal Women and Children's Medical Center (Group), Dalian 116012, Liaoning, China;
    2. Department of Ophthalmology, Dalian Municipal Women and Children's Medical Center (Gorup), Dalian 116012, Liaoning, China
  • Published:2023-03-30

Abstract: Objective To investigate the operative timing and clinical observations of nasal endoscopy-assisted probing of the nasolacrimal duct in the treatment of neonatal dacryocystitis. Methods 22 cases(43 eyes)of neonatal dacryocystitis in Dalian municipal women and children's medical center(group)were selected including 6 males and 16 females, with an average age of 22 days. All the children had symptoms such as elevated body temperature and obvious swelling of the nose on the affected side, redness, swelling and tenderness of the lacrimal sac area below the medial canthus of the ipsilateral side, accompanied by a large number of purulent secretions and other symptoms for which conservative treatment was ineffective. Under the circumstance of patients, nasal endoscopy-assisted inferior nasolacrimal duct probing was performed, and a therapeutic effect on dacryocystitis was observed after the operation. Results All the 22 children with dacryocystitis were treated with lacrimal duct probing. All the children's symptoms improved during the follow-up period of 8 months to 2 years. Conclusion In the case of infection, redness, and other symptoms due to lacrimal duct obstruction in children within 3 months, lacrimal duct probing is feasible if conservative treatment is ineffective, and an endoscopic nasal surgery can accurately locate and avoid nasal mucosal damage.

Key words: Nasal endoscopic, Neonatal period, Dacryocystitis, Probing of lacrimal passage, Recurrence

CLC Number: 

  • R779.6
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