K.K. BARANOV^1,2, I.M. CHINENOV², I.V. ZYABKIN², A.A. PIKHUROVSKAYA¹, M.R. BOGOMILSKI¹

¹Pirogov Russian National Research Medical University, 1 Ostrovityanova Str., Moscow, Russian Federation, 117997

²Russian Children’s Clinical Hospital of Pirogov Russian National Research Medical University, 117 Leninskiy prospekt, Moscow, Russian Federation, 119571

 Baranov K.K. ― Cand. Med. Sc., Assistant Lecturer of the Otorhinolaryngology Department of the Pediatric Faculty, e-mail: kkb333@mail.ru

Chinenov I.M. ― Cand. Med. Sc., Head of the Ophthalmology Department, e-mail: kkb333@mail.ru

Zyabkin I.V. ― Cand. Med. Sc., Deputy Chief Doctor, e-mail: zyabkin74@gmail.com

Pikhurovskaya A.A. ― otorhinolaryngologist, Senior laboratory assistant of the Otorhinolaryngology Department of the Pediatric Faculty, e-mail: pihurowsckaya@yandex.ru

Bogomilski M.R. ― Doc. Med. Sc., Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Otorhinolaryngology Department of the Pediatric Faculty, Honored Researcher of the Russian Federation, e-mail: kkb333@mail.ru

The authors propose their own algorithm for diagnosis and treatment of dacryocystitis in children, which is conditioned and combined with rhinopathology (nasal septal deviation, chronic rhinosinusitis). In the diagnosis and treatment of the disease, the team approach of ophthalmologists and otorhinolaryngologists was used. The treatment tactics was based on the results of diagnostic endoscopy of the nasal cavity, color nasolacrimal canal probing, contrast radiography and computer tomography of the paranasal sinuses. In cases of acute or chronic dacryocystitis, we used endonasal retrograde probing of the nasolacrimal canal in children from 2-7 months of age. If it failed, we used dacryocystorhinostomy from 2 years of age. The operation was performed using endoscopic technique and motor systems. In case of concomitant rhinopathology, we performed septoplasty, turbinoplasty or functional endoscopic sinus surgery.

Key words: dacryocystitis, endonasal retrograde probing of the nasolacrimal canal, dacryocystorhinostomy

(For citation: Baranov K.K., Chinenov I.M., Zyabkin I.V., Pikhurovskaya A.A., Bogomilski M.R. Features of diagnostics and treatment of combined nose and lacrimal canal pathology in children. Practical Medicine. 2018)

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