Inferior Turbinate Fracture and Congenital Nasolacrimal Duct Obstruction

Attarzadeh, A. Alavi A.; Sajjadi, Mohammadreza Minator; Owji, Naser; Talebnejad, Mohammad Reza; Farvardin, Mohsen; Attarzadeh, Ad.

doi:10.1177/112067210601600403

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…Inferior turbinate fracture is effective in cases with narrow space around the ostium of the nasolacrimal duct (Kushner 1982; Wesley 1985; Katowitz & Welsh 1987; Attarzadeh et al. 2006; Kapadia et al.…”

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 99%

“…2001). Although a combination of probing with intubation results in good cure rates of 88–100% (Havins & Wilkins 1983; Wesley 1985; Migliori & Putterman 1988), the success rate for a combination of inferior turbinate fracture and probing was no different to that for simple probing (Attarzadeh et al. 2006).…”

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 99%

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Management of congenital nasolacrimal duct obstruction

Takahashi

Kakizaki

Chan

et al. 2010

Acta Ophthalmologica

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ABSTRACT.Our review aims to provide an update of management protocols for congenital nasolacrimal duct obstruction (CNDO). Although early probing performed before the age of 1 year was traditionally recommended, many reports have since confirmed high frequencies of spontaneous resolution during the first year of life. Accordingly, a 'wait-and-see' approach, combined with conservative therapies, is judged to be the best option in infants aged < 1 year. By contrast, persistent obstruction beyond 1 year of age warrants probing as a firstline interventional therapy. However, the optimal timing for probing remains controversial. Although there remains a high possibility of spontaneous resolution after the first year of age, this must be balanced against the decrease in success rates for probing that accompanies advancing age. If conservative management fails, persistent CNDO beyond 1 year of age should be managed either by further observation or by primary probing according to the severity of symptoms. In patients in whom probing fails, advanced treatment such as balloon catheter dilation, silicone tube intubation or dacryocystorhinostomy may be considered.

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Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 99%

Section: Treatment Of Cndo Beyond the First Year Of Lifementioning

confidence: 99%

Management of congenital nasolacrimal duct obstruction

Takahashi

Kakizaki

Chan

et al. 2010

Acta Ophthalmologica

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“…Ab. Attarzadeh and Katowitz did not found a high rate of success while Havins reported no failure when applying inferior nasal conchae fracture [ 27 - 29 ].…”

Section: Resultsmentioning

confidence: 99%

Insights in the treatment of congenital nasolacrimal duct obstruction

Avram¹

2017

rjo

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Introduction: Congenital nasolacrimal duct obstruction is one of the most common causes of epiphora in newborns and the main cause of this condition is the persistence of Hasner membrane. Several treatment options are available, like conservative treatment, probing, irrigation, or more complex techniques. Objective: The objective of this paper is to discuss the efficiency of different treatment options addressing congenital nasolacrimal duct obstruction based on trials reported in literature. Methods: Clinical trials were identified on PubMed. The results were discussed regarding patient age, type of treatment and efficiency of the treatment. Results: 41 trials were reviewed. The rate of resolution according to different treatment options was the following: conservative treatment 14.2-96%, probing 78-100%, irrigation 33-100%, silicon tube intubation 62-100%, inferior turbinate fracture 54.7-97%, balloon dacryocystoplasty 77%, endoscopic intranasal surgery 92.72%, and dacryocystorhinostomy 88.2-93.33%. Conclusions: The first choice in uncomplicated cases should be a conservative treatment, which can be followed until the age of 1 year, while in complicated cases other solutions should be considered.

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“…In the literature, the efficiency of inferior turbinate fracture for congenital nasolacrimal duct obstruction is controversial. Attarzadeh et al ., 23 Katowitz and Welsh, 24 and Rajabi et al . 25 found similar success rates for probing in congenital nasolacrimal duct obstruction cases with or without inferior turbinate displacement.…”

Section: Discussionmentioning

confidence: 99%

Incision of Hasner's valve under endoscopic intranasal surgery for the treatment of nasolacrimal duct obstruction in children

Keilani

Keller

2020

J. Laryngol. Otol.

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ObjectiveTo evaluate the effectiveness and safety of a Hasner's valve incision performed under endoscopic intranasal surgery for the management of congenital nasolacrimal duct obstruction.MethodsThis retrospective study comprised 484 patients with congenital nasolacrimal duct obstruction who underwent incision of Hasner's valve under endoscopic intranasal surgery between April 2000 and October 2016. The primary endpoint was the procedure's functional success rate. The secondary endpoints were Hasner's valve and inferior turbinate anatomical findings, demographic data, complication rate and surgical duration.ResultsIn patients with no medical history of nasolacrimal duct probing, 91 per cent had a successful result, 5 per cent had a partially successful result, 3.9 per cent showed no change and 0.1 per cent had a worse result following the procedure. Concerning the secondary endpoints, outcomes were more frequently successful in children younger than three years. Only one patient had a post-operative infection. All patients underwent general anaesthesia; no complications related to general anaesthesia were observed. Mean surgical duration was 13.1 ± 5.7 minutes.ConclusionIncising Hasner's valve after medially displacing the inferior turbinate under nasal endoscopy seems to be an adequate primary surgical treatment for congenital nasolacrimal duct obstruction.

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Inferior Turbinate Fracture and Congenital Nasolacrimal Duct Obstruction

Abstract: Based on the results of this study, infracturing of the inferior turbinate does not increase the success rate of simple probing as a first attempt.

Cited by 10 publications

References 8 publications

Management of congenital nasolacrimal duct obstruction

Management of congenital nasolacrimal duct obstruction

Insights in the treatment of congenital nasolacrimal duct obstruction

Incision of Hasner's valve under endoscopic intranasal surgery for the treatment of nasolacrimal duct obstruction in children

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