Balloon Dilatation for Treatment of Congenital Nasolacrimal Duct Obstruction

Abstract

This experience shows that balloon dilatation is a safe and effective treatment of congenital nasolacrimal duct obstruction as a primary procedure in children over 36 months of age and as a secondary procedure after failure of lacrimal system probing. As a result, balloon dacryocystoplasty can be an alternative treatment in older children and can be preferred to silicone intubation and dacryocystorhinostomy performed after unsuccessful probing.

Balloon catheter dilatation versus probing as primary treatment for congenital dacryostenosis

“…These results of primary treatment for congenital dacryostenosis are similar to those reported by Lachmund et al (90%),9 Yuskel et al (89.4%),10 Chen et al (79%),11 Leuder et al (82%),12 Tao et al (82%)13 and Repka et al (82%) 14…”

Comparison of two endoscopically assisted procedures in primary surgical treatment of congenital nasolacrimal duct obstruction in children older than 3 years: Balloon dilatation and bicanalicular silicone tube intubation

“…In BD group no such complications occured and no revision operations were required. In the literature, balloon dacryocystoplasty is defined as an efficient and safe surgical procedure that is extremely well tolerated [21,[27][28][29][30].…”

“…Probing is preferred when there is no response to conservative therapy. However, it is frequently the procedure of choice for children with nasolacrimal duct obstruction in the 1st years of life and there are many different reports about the best timing of this procedure in the literature [4,[9][10][11]13,21,22].…”

Doğumsal Nazolakrimal Kanal Tıkanıklığı Tedavisinde Sondalama Yönteminin Etkinliği

“…8 Sondalama tedavisinin başarısız olduğu olgularda da silikon entübasyon, balon dilatasyon ve dakriosistorinostomi tedavileri uygulanabilmektedir. [8][9][10] Tedavi yaklaşımının seçiminde hastanın yaşı çok önemli bir faktördür. Sondalama için 1 yaşın beklenmesi gerekliliği ve bu işlemin 3 yaşından sonra uygulanabilirliliği halen tartışmalı olup araştırmacılar bu konularda henüz fikir birliğine varabilmiş değillerdir.…”