Pediatric dacryocystorhinostomy
T. S. Nowinski, J. C. Flanagan and J. Mauriello
Dacryocystorhinostomy (DCR) often has uncertain results in the pediatric
age group. Poorly defined and rapidly changing anatomy, along with a
tendency toward vigorous growth of scar tissue, may alter surgical results.
We report our experience with 29 primary pediatric dacryocystorhinostomies
and five reoperations. Strict attention to surgical anatomy allows
attainment of success results (83%) comparable with those in adults in both
traumatic and nontraumatic cases. Our results, surgical technique, and
evaluation of failures are discussed. Meticulous suturing of anterior and
posterior flaps is not necessary for good surgical results.
Dacryocystorhinostomy is a successful therapeutic modality in childhood
dacryostenosis with chronic dacryocystitis when medical therapy, probing,
and silicone intubation have been unsuccessful.
