{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:02:37Z","timestamp":1781143357594,"version":"3.54.1"},"reference-count":48,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Nasolacrimal duct obstruction (NLDO) in children typically resolves without surgery. Endoscopic dacryocystorhinostomy (En\u2010DCR) is considered in cases refractory to irrigation, probing, and\/or stent placement. The incidence of revision after pediatric En\u2010DCR ranges from 0% to 22%. The objective of this review is to determine the incidence of revision and failure after pediatric En\u2010DCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>In this systematic review, Medline, Embase, and Cochrane databases were searched on 11\/21\/2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Studies investigating primary, pediatric En\u2010DCR outcomes were included. Case reports and articles that published no primary data or reported results aggregated with data from adult, revision,\u00a0or external DCRs were excluded. Two reviewers (M.H. and R.W.) selected studies using these criteria and assessed quality with the Newcastle\u2010Ottawa Scale and Cochrane Risk of Bias Tool. R V4.1.1 and GraphPad Prism 10.3.1 were used in statistical analysis and creation of Forest plots. The study protocol was pre\u2010registered with Prospero.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010one studies were included, involving 1470 ducts in 1230 patients. The mean age of these patients was 5.3\u2009years old, and the study population was 49.5% male. Revision was performed in 9.1% of cases, and surgical failure occurred in 11.7% of cases. The mean follow\u2010up time was 17.4\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>En\u2010DCR is an effective treatment for NLDO. The incidence of revision was found to be lower than that of surgical failure, potentially due to short follow\u2010up times of some studies or reluctance to undergo revision. The calculated incidence of complications and revision may underestimate true values due to significant heterogeneity among studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70470","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:10:21Z","timestamp":1773288621000},"page":"2876-2886","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary Endoscopic Dacryocystorhinostomy in Pediatric Patients: A Systematic Review"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1467-9817","authenticated-orcid":false,"given":"Maya","family":"Hatley","sequence":"first","affiliation":[{"name":"Grossman School of Medicine New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald S.","family":"Wang","sequence":"additional","affiliation":[{"name":"Grossman School of Medicine New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Khandji","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology NYU Langone Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth M.","family":"Lieberman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery NYU Langone Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqing","family":"Yang","sequence":"additional","affiliation":[{"name":"Grossman School of Medicine New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahrah M.","family":"Taufique","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery NYU Langone Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.05.004"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.09.028"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010011\u20101605\u2010z"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.08.004"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886\u2010021\u201002185\u2010x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812446679"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6702769"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442\u20109071.1994.tb00789.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3928\/0191\u20103913\u201019780701\u201014"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01676830.2017.1337168"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215100109405"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_696_17"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.01.009"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/tjo.tjo_10_18"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/01676830.2013.842253"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.09.064"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/11206721231225985"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/01676830.2019.1582072"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.4103\/abr.abr.abr_375_14"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpa.2001.114910"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.12.016"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070\u2010013\u20100690\u20102"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.2500\/ar.2015.6.0116"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.04.023"},{"key":"e_1_2_10_26_1","unstructured":"G. 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