Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Abdu, Lawan; Salisu, Abubakar Danjuma

doi:10.4103/1596-3519.134412

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…A Study in Nepal reported the acquired NLDO 63% of cases. Marr and colleagues [10][11][12] in their study reported 92% of patients had congenital NLDO and only 8% acquired cases, which is nearly close to our study.…”

Section: Discussionsupporting

confidence: 91%

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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: Discussionsupporting

confidence: 91%

“…Abdu and Salisu [10] reported 88% of success rate of external DCR in children with 1 year post op follow up.…”

Section: Discussionmentioning

confidence: 98%

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

Yenugandula¹,

Prameela²,

Kumar³

2018

jemds

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The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

Tai

Kueh

Abdullah

2020

IJERPH

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Nasolacrimal duct obstruction (NLDO) is the most common cause of childhood epiphora. It is managed conservatively in the first year of life, after which surgical treatment is classically based on a stepwise paradigm of probing, intubation, and dacryocystorhinostomy. This systematic review aims to present the current role of intubation in the management of children with NLDO requiring surgical intervention. A search for English-language articles from the electronic databases PubMed, SCOPUS, and the COCHRANE library was conducted over a period of five months in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook. The following keywords were used to aid retrieval: stents, children, lacrimal intubation, endoscopic dacryocystorhinostomy, external dacryocystorhinostomy, NLDO, dacryocystitis, congenital, acquired. The primary outcome was defined as the success of the intervention, determined by resolution of symptoms and patency of the lacrimal anatomy confirmed by the fluorescein dye disappearance test or syringing. Secondary outcomes included the presence of complications. A total of 144 articles were identified; of these, 35 fulfilled the study criteria. The majority of the included studies involved lacrimal intubation alone, followed by intubation as an adjunctive procedure to balloon dacryoplasty and dacryocystorhinostomy. The overall success rate of these procedures ranged from 41.1% to 100%. Post-operative complications were reported in 65.7% of the included studies. Lacrimal intubation was most commonly performed as a primary procedure in children with NLDO, with high success rates. The main complication was stent dislodgement. There is lack of evidence regarding the benefit of intubation over probing as primary treatment of congenital NLDO. In the absence of high-quality evidence, the decision of whether to perform lacrimal intubation in children with NLDO requiring surgical intervention depends on clinical judgement and other low-level evidence, such as observational non-randomised trials.

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Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Cited by 2 publications

References 18 publications

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

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

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