Endonasal endoscopic dacryocystorhinostomy for dacryocystocoele in a 4 month old infant

Endonasal endoscopic examination showed no signs of intranasal extension. Because of the clear clinical diagnosis of dacryocystocoele, the patient's age, and the need for additional general anaesthesia, we did not insist on a dacryocystogram or computed tomograph scanning. In spite of the technical problems, we think that EEDCR, even in such a small infant, can be a good therapeutic choice in cases refractory to conservative treatment (warm compresses, massage, probing) because of its non-invasive performance and a very fast postoperative rehabilitation.