Efficacy of combined surgical techniques in the correction of congenital dacryocystitis and nasolacrimal malformations: a systematic review of functional outcomes and complications in pediatric patients
DOI:
https://doi.org/10.56183/iberojhr.v5i1.708Palavras-chave:
Congenital dacryocystitis, Nasolacrimal malformations, Surgical techniques, Pediatric outcomes, Dacryocystorhinostomy.Resumo
Background: Congenital dacryocystitis and nasolacrimal malformations can frequently cause epiphora in pediatric patients and often require surgical intervention. Complexity of these conditions needs application of combined surgical techniques to address specific anatomical and pathological challenges.
Objective: The systematic search strategy was followed to evaluate functional outcomes and complications which are associated to combined surgical techniques for congenital dacryocystitis and nasolacrimal malformations among pediatric populations while focusing on studies published between 2019 and 2023. Methods: We followed comprehensive search across databases like PubMed, Embase and Scopus to identify studies reporting on pediatric outcomes and outcomes of surgical interventions and associated complications. We selected total of 24 studies for final analysis and all these studies were focusing on techniques such as dacryocystorhinostomy (DCR), probing and balloon dilation among others. Results: The results of this systematic review has revealed significant variations of outcomes. Some techniques were demonstrating higher success rates for specific age groups or severity levels. For example, silicone intubation combined with probing was more effective in older children while endoscopic DCR showed high success in severe cases. Minimally invasive methods like transcanalicular diode laser DCR were favored for their reduced recovery time and lower complication rates. Conclusions: After all research, it is concluded that tailored surgical approaches based on age, obstruction severity and anatomical factors can be helpful for optimizing treatment outcomes. Combined techniques offer promising results although further research is needed to refine treatment protocols and investigate new technologies for improved diagnosis and intervention.
Referências
Ali, M. J., & Paulsen, F. (2020). Human lacrimal drainage system reconstruction, recanalization, and regeneration. Current Eye Research, 45(3), 241-252.
Ashby, G., Sathiamoorthi, S., & Mohney, B. G. (2024). The incidence of pediatric dacryocystitis among a population-based cohort of infants with congenital nasolacrimal duct obstruction. Journal of American Association for Pediatric Ophthalmology and Strabismus, 28(3), 103928. https://doi.org/10.1016/j.jaapos.2024.103928
Bansal, O., Bothra, N., Sharma, A., Walvekar, P., & Ali, M. J. (2021). Congenital nasolacrimal duct obstruction update study (CUP study): Paper I—Role and outcomes of Crigler’s lacrimal sac compression. Eye, 35(8), 1600–1604. https://doi.org/10.1038/s41433-021-01393-1
Cavaliere, M., De Luca, P., Scarpa, A., De Bonis, E., Troisi, D., Cassandro, C., Concilio, G., D'Ascanio, L., & Di Stadio, A. (2022). Longitudinal randomized study to evaluate the long-term outcome of endoscopic primary dacryocystorhinostomy with or without silicone tube. European Archives of Oto-Rhino-Laryngology, 279(2), 1105-1109. https://doi.org/10.1007/s00405-021-07104-w
Ciğer, E., & İşlek, A. (2022). Mucosal healing with lacrimal and double mucosal flaps endoscopic dacryocystorhinostomy - comparison with flap sacrificed technique: randomised, controlled study. Journal of Laryngology and Otology, 136(12), 1189-1195. https://doi.org/10.1017/S0022215121004059
Dacryostenosis. (2025, January 1). PubMed. https://pubmed.ncbi.nlm.nih.gov/33085279/
Han, X., Bian, Y., & Yu, B. (2022). Outcomes associated with indwelling momentary probe for congenital nasolacrimal duct obstruction treatment. Journal of the College of Physicians and Surgeons Pakistan, 34(12), 1581. https://doi.org/10.29271/jcpsp.2022.12.1581
Juniat, V., Rose, G. E., Timlin, H., Wagh, V. J., Abou-Rayyah, Y., Uddin, J., & Verity, D. H. (2021). Day-case admission for external dacryocystorhinostomy in preschool children. Ophthalmic Plastic and Reconstructive Surgery, 37(1), 65-66. https://doi.org/10.1097/IOP.0000000000001694
Kaynak, P. (2019). Transcanalicular Laser-Assisted Dacryocystorhinostomy. Oculofacial, Orbital, and Lacrimal Surgery: A Compendium, 517-530.
Lai, C.-C., Yang, C.-J., Lin, C.-C., & Chi, Y.-C. (2021). Surgical outcomes of balloon dacryocystoplasty combined with pushed-type monocanalicular intubation as the primary management for congenital nasolacrimal duct obstruction. Journal of Pediatric Ophthalmology and Strabismus, 58(6), 365-369. https://doi.org/10.3928/01913913-20210414-01
Levine, Corinna G., and Roy R. Casiano. "Revision functional endoscopic sinus surgery." Otolaryngologic Clinics of North America 50, no. 1 (2017): 143-164.
Management of Canalicular Lacerations: Epidemiological Aspects and Experience with Mini-Monoka Monocanalicular Stent | Request PDF. (2018, June 1). ResearchGate. https://www.researchgate.net/publication/5787331_Management_of_Canalicular_Lacerations_Epidemiological_Aspects_and_Experience_with_Mini-Monoka_Monocanalicular_Stent
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for Systematic Reviews and Meta-Analyses: the PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Mutlu, D., Bayram, N., Arici, M. K., Ozec, A. V., Erdogan, H., & Toker, M. I. (2022). Comparison of outcomes of external dacryocystorhinostomy and transcanalicular laser-assisted dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction. Klin Monbl Augenheilkd, 239(6), 799-803. https://doi.org/10.1055/a-1720-1752
Nowak R. (2020). Management of inferior dislocation of a StopLoss Jones tube after conjunctivodacryocystorhinostomy. BMJ case reports, 13(11), e236003. https://doi.org/10.1136/bcr-2020-236003
Petris, C., & Liu, D. (2017). Probing for congenital nasolacrimal duct obstruction. Cochrane Database of Systematic Reviews, (7).
Prism Johnson Limited. (2022). Annual report 2021-2022. Retrieved from https://www.prismjohnson.in/wp-content/uploads/2022/12/Annual-Report-2021-2022-1.pdf
Saleem, A. A. (2019). Congenital Nasolacrimal Duct Obstruction and the Visual System. Frontiers in Ophthalmology and Ocular Imaging.
Sasaki, T., Matsumura, N., Miyazaki, C., Kamao, T., Yokoi, N., Fujimoto, M., Hayami, M., Iwasaki, A., Mimura, M., Murata, A., Nakayama, T., Shinomiya, K., Tanaka, H., & Ueta, Y. (2024). Congenital nasolacrimal duct obstruction: clinical guideline. Japanese Journal of Ophthalmology, 68(4), 367–388. https://doi.org/10.1007/s10384-024-01064-4
Schellini, S. A., Marques-Fernandez, V., Meneghim, R. L. F. S., & Galindo-Ferreiro, A. (2021). Current management strategies of congenital nasolacrimal duct obstructions. Expert Review of Ophthalmology, 16(5), 377-385.
Shahgoli, S. S., Zand, A., Tehrani, M. J., Bahremani, E., Rajabi, M. T., Aghajani, A., & Rafizadeh, S. M. (2024). Comparative efficacy of probing with or without intubation, and/or inferior turbinate fracture in simple congenital nasolacrimal duct obstruction: A randomized clinical trial. Scientific Reports, 14(20324). https://doi.org/10.1038/s41598-024-20324-9
Shylaja, S. (2012). Clinical Study and Management of Chronic Dacryocystics (Master's thesis, Rajiv Gandhi University of Health Sciences (India)).
Taylor, R. S., & Ashurst, J. V. (2023, September 11). Dacryocystitis. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK470565/
Vagge, A., Ferro Desideri, L., Nucci, P., Serafino, M., Giannaccare, G., Lembo, A., & Traverso, C. E. (2018). Congenital Nasolacrimal Duct Obstruction (CNLDO): A Review. Diseases (Basel, Switzerland), 6(4), 96. https://doi.org/10.3390/diseases6040096
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Jorge Santiago Saucedo Rizo, Maria Luisa Guerrero Jiménez, Daniel Sebastian Zamora Gutierrez, Paola Carolina Astudillo González, Natalia Quintero Serrano, Domenica Raquel Villacis Cabezas, Elizabeth Contreras Vargas
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.