The authors present a case of endonasal endoscopic dacryocystorhinostomy in
a 4-month-old girl suffering from remarkable epiphora, persistent bulging
and recurrent abscesses in the medial canthal region of the left eye. All c
onservative therapeutic attempts failed, Several external incisions were pe
rformed in order to solve the acute phases of the inflamed lacrimal sac, Th
e procedure was performed by means of otologic microsurgical instruments un
der endoscopic control. No silicone stent was used. Ten months after surger
y, the girl is doing very well. Copyright (C) 2001 S. Karger AG, Basel.