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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Congenital Nasolacrimal Duct Obstruction

Respected sir, My 4year old daughter who weighs 19kg is suffering from Congenital Nasolacrimal Duct Obstruction which a Doctor adviced to go for probing of left sided NLD. When went for a second opinion an other Doctor said that its too late to go for probing bcos her bone has grown and tissues are strong enought that probing will not help. The only solution is surgery. Her CT Scan also revealed that she has PARANASAL SINUSES which says septum is in midline. Mucosal thickening in bilateral maxillary and bilateral ethmoid sinuses Non pneumatised bilateral frontal sinusess Bilateral inferior turbinate hypertrophy Both infundibulae/OMC obstructed Hypertrophied adenoids narrowing the nasopharyngeal airway Motion artifacts noted. Could you please tell whether its emergency and surgery is needed at once?
Thu, 24 May 2018
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Pediatrician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

How is your daughter suffering from nasolacrimal duct obstruction? Is her left eye constantly tearing or draining mucus? Has it become infected? If that duct's obstruction is not removed, then these are the complications that can occur.

Her hypertrophied adenoids could cause her to snore and be predisposed to ear infections. I do not know what type of doctors you have taken her to, but the best doctor for her problems is a pediatric ENT physician. Is there a university medical hospital with pediatric ENT that you can take her (along with the CT scan) to be seen?

I hope this will get you on the right. Please return if you have other questions.
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Suggest Treatment For Congenital Nasolacrimal Duct Obstruction

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. How is your daughter suffering from nasolacrimal duct obstruction? Is her left eye constantly tearing or draining mucus? Has it become infected? If that duct s obstruction is not removed, then these are the complications that can occur. Her hypertrophied adenoids could cause her to snore and be predisposed to ear infections. I do not know what type of doctors you have taken her to, but the best doctor for her problems is a pediatric ENT physician. Is there a university medical hospital with pediatric ENT that you can take her (along with the CT scan) to be seen? I hope this will get you on the right. Please return if you have other questions.