External dacryocystorhinostomy in paediatric age group: indications and outcome results

Khalil, Mohamed F; Abdelrazik, Sahar T

doi:10.4103/2090-0686.161391

Cited by 2 publications

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“…Maheshwari reported 97.5% success [16] which matched the results of Mohammad F. Khalil, Sahar T et al in the congenital sub group with congenital NLDO after failed probing and intubations. [17] Regarding the intra operative events we had partial loss of sac mucosa (4%) and loss of nasal mucosa in two cases (4%) and excessive bleeding in 6% cases.…”

Section: Discussionmentioning

confidence: 84%

External Dacryocystorhinostomy in Paediatric Patients and Surgical Outcomesour Experience in a Government Teaching Hospital

Yenugandula¹,

Prameela²,

Kumar³

2018

jemds

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BACKGROUND In paediatric group patients, management of Epiphora is a stepwise process starting with probing at the age of 9-12 months and it results in high cure rates. For persistent watering and discharge following repeated probing, more invasive procedures like Balloon Dacryocystoplasty or external and endonasal Dacryocystorhinostomy are required in older children. Our study was designed to evaluate the indications, intra operative events and surgical outcomes of external dacryocystorhinostomy in children. Design-A descriptive study was carried out in the Department of Paediatric Ophthalmology at Sarojini Devi Eye Hospital including children undergoing external Dacryocystorhinostomy in the year 2017 with a minimum Post Op follow up of six months. MATERIALS AND METHODS The children aged between 7-14 years attending the OPD of Paediatric Ophthalmology were recruited for study numbering 50. The data collected regarding age, sex of the patients, side of the obstruction, indication for surgery, intra operative events, follow up period, post-operative complications and post-operative results. In our study, follow up period was at least 6 months. Data of the 50 patients are statistically analysed and presented. RESULTS In our study, the mean followup period was 8.78 months and age of the patients ranges from 7 years to 14 years with a mean of 8.71 years. The complication rate is low as successful outcomes seen in 47 cases (94%) against failed patency in two cases (4%) and in 2% cases there is partial patency resulting in occasional watering. Incidence in males was slightly higher (60%) than in females (40%). CONCLUSION External DCR is a cost effective and efficient surgical treatment for Congenital NLDO or acquired lacrimal obstruction causing epiphora in children.

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Section: Discussionmentioning

confidence: 84%

External Dacryocystorhinostomy in Paediatric Patients and Surgical Outcomesour Experience in a Government Teaching Hospital

Yenugandula¹,

Prameela²,

Kumar³

2018

jemds

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Comparing outcomes of pediatric and adult external dacryocystorhinostomy in Nepal: Is age a prognostic factor?

Limbu

Katwal

Lim

et al. 2017

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We determine whether age is a prognostic factor for surgical outcomes of external dacryocystorhinostomy (Ex-DCR). This retrospective cohort study conducted at Tilganga Institute of Ophthalmology (Kathmandu, Nepal) compared pediatric Ex-DCR procedures (age ≤ 15 years) to adult Ex-DCR procedures (age > 15 years) and was performed between January 2013 and December 2013, with a minimum follow-up period of 6 months. Primary outcome measure was rate of success, defined as complete resolution of subjective symptom(s) of epiphora (subjective success), combined with patent lacrimal passage on syringing (anatomical success) at last follow-up visit. Other outcome measures included clinical presentation, diagnosis, intraoperative complications and post-operative complications. In total, 154 Ex-DCR procedures were included, with an age range of 8 months to 81 years (mean age 36.4 ± 21.0 years). In all, 38 pediatric Ex-DCR procedures were compared to 116 adult procedures. Success rates were 97% in the pediatric group and 95% in the adult group, with no clinically or statistically significant difference in success rate or complication rate between groups (p > 0.05). Our study yielded high success rates of Ex-DCR in both pediatric and adult age groups suggesting that Ex-DCR remains an optimal treatment choice for all age groups. With no difference in surgical outcomes between pediatric and adult patients, including complication rate, we conclude that age is not a prognostic factor for Ex-DCR failure. We do not recommend adjuvant therapy for pediatric patients.

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External dacryocystorhinostomy in paediatric age group: indications and outcome results

Cited by 2 publications

References 1 publication

External Dacryocystorhinostomy in Paediatric Patients and Surgical Outcomesour Experience in a Government Teaching Hospital

External Dacryocystorhinostomy in Paediatric Patients and Surgical Outcomesour Experience in a Government Teaching Hospital

Comparing outcomes of pediatric and adult external dacryocystorhinostomy in Nepal: Is age a prognostic factor?

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