title: Resolution of dacryostenosis after osteopathic manipulative treatment.
abstract: Dacryostenosis is an obstruction of the nasolacrimal duct and is the most common cause of epiphora and ocular discharge in newborns. Whereas most cases resolve spontaneously, invasive treatment may become necessary if symptoms persist past age 6 to 12 months. In the present case, a 9-month-old boy with persistent dacryostenosis was scheduled for lacrimal duct probing after first-line treatments failed. After a single session of osteopathic manipulative treatment, the patient's epiphora and other symptoms resolved, and he no longer needed surgical probing. A review of the literature highlights key pathophysiologic processes, management options, and musculoskeletal aspects of dacryostenosis. Physicians should consider osteopathic manipulative treatment in the management of dacryostenosis.
authors: From the New York Institute of Technology College of Osteopathic Medicine (NYIT-COM) in Old Westbury.
authors: Theresa E
authors: TE
authors: Apoznanski
authors: From the New York Institute of Technology College of Osteopathic Medicine (NYIT-COM) in Old Westbury.
authors: Reem
authors: R
authors: Abu-Sbaih
authors: From the New York Institute of Technology College of Osteopathic Medicine (NYIT-COM) in Old Westbury.
authors: Michael J
authors: MJ
authors: Terzella
authors: From the New York Institute of Technology College of Osteopathic Medicine (NYIT-COM) in Old Westbury syao@nyit.edu.
authors: Sheldon
authors: S
authors: Yao
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007767:Lacrimal Duct Obstruction / Q000628:therapy*; D008297:Male; D026301:Manipulation, Osteopathic / Q000379:methods*; D016896:Treatment Outcome