title: Paediatric dacryocystorhinostomy.
abstract: Of 258 cases of dacryocystorhinostomy performed on children in the period September 1981 to September 1991, 130 were for simple, unresolved congenital nasolacrimal duct obstruction. Other indications for surgery included punctal agenesis, lacrimal fistula, post-traumatic and post-inflammatory canalicular obstruction. Of 177 children without canalicular pathology, 171 (96%) were relieved of symptoms with one operation, without canalicular intubation. Of 81 cases with canalicular disease, 55 of 70 (79%) who underwent DCR plus canalicular intubation, and 10 of 11 who underwent DCR plus Lester-Jones tube, were substantially improved with one operation. No child required peroperative or postoperative blood transfusion. Dacryocystorhinostomy in childhood, in experienced surgical hands, is a safe procedure, achieving relief of symptoms in most cases, particularly in the absence of canalicular disease.
authors.affiliation: Moorfields Eye Hospital, London, United Kingdom.
authors.forename: K N
authors.initials: KN
authors.lastname: Hakin
authors.forename: T J
authors.initials: TJ
authors.lastname: Sullivan
authors.forename: A
authors.initials: A
authors.lastname: Sharma
authors.forename: R A
authors.initials: RA
authors.lastname: Welham
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003608:Dacryocystorhinostomy / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D007766:Lacrimal Apparatus Diseases / Q000601:surgery; D007767:Lacrimal Duct Obstruction / Q000150:complications / Q000151:congenital; D008297:Male; D009301:Nasolacrimal Duct / Q000002:abnormalities / Q000601:surgery*; D011379:Prognosis; D019736:Prostheses and Implants; D012086:Reoperation; D012826:Silicone Elastomers; D013666:Tears / Q000378:metabolism
chemical_list: D012826:Silicone Elastomers