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

Published online by Cambridge University Press:  10 January 2020

C Keilani ,
P Keller  and
J-M Piaton
C Keilani*
Affiliation:
Department IV, Endoscopic Endonasal Surgery and Oculoplastic Division, Quinze-Vingts National Center, Paris, France Faculty of Medicine Pierre and Marie Curie (Paris VI), Sorbonne University, Paris, France Assistance Publique – Hôpitaux de Paris, France
P Keller
Affiliation:
Department IV, Endoscopic Endonasal Surgery and Oculoplastic Division, Quinze-Vingts National Center, Paris, France
J-M Piaton
Affiliation:
Department IV, Endoscopic Endonasal Surgery and Oculoplastic Division, Quinze-Vingts National Center, Paris, France
*
Author for correspondence: Dr Chafik Keilani, Department IV, Endoscopic Endonasal Surgery and Oculoplastic Division, Quinze-Vingts National Center, 28 Rue de Charenton, 75571Paris, France E-mail: dr.chafik.keilani@gmail.com
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Abstract

Objective

To evaluate the effectiveness and safety of a Hasner's valve incision performed under endoscopic intranasal surgery for the management of congenital nasolacrimal duct obstruction.

Methods

This 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.

Results

In 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.

Conclusion

Incising 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.

Keywords

ChildNasolacrimal DuctTurbinatesLacrimal Duct ObstructionEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 1 , January 2020 , pp. 56 - 62
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr C Keilani takes responsibility for the integrity of the content of the paper

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