Hallazgos nasosinusales por tomografía computada en dacriocistitis crónica pediátrica.
| Autor: | Campos-Navarro LA; Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello (CCC), Academia Mexicana de Cirugía, Hospital Ángeles Metropolitano., Ibarra-Macari ME; Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello (CCC), Academia Mexicana de Cirugía, Hospital Ángeles Metropolitano., Barrón-Campos AC; Facultad de Ciencias de la Salud, Universidad Anáhuac México., Moreno-Martínez JM; Servicio de Radiología, Unidad Médica de Alta Especialidad, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social. Ciudad de México, México., Almeyda-Farfán JA; Facultad de Ciencias de la Salud, Universidad Anáhuac México. |
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| Jazyk: | angličtina |
| Zdroj: | Cirugia y cirujanos [Cir Cir] 2023; Vol. 91 (1), pp. 87-93. |
| DOI: | 10.24875/CIRU.20001361 |
| Abstrakt: | Objective: To evaluate the preoperative tomographic characteristics of the nose and paranasal sinuses of children with chronic dacryocystitis. Method: Prospective, observational, cross-sectional, and descriptive study. CT scans of the paranasal sinuses of patients candidates for endoscopic dacryocystorhinostomy were evaluated for two years. Demographic characteristics, radiological findings, inflammatory processes and anatomical variants were identified using the Lund-Mackay classification. Statistic analysis. Stata 10.0, descriptive analysis, Student's t: mean difference and χ 2 . Logistic studies to estimate the probability between variables. Results: 27 men and 11 women (n = 38) were included. Of these, 22 had unilateral and 16 bilateral nasolacrimal duct involvement. Lund-Mackay score range: 2-20. Eleven patients had associated pathology. The most affected were anterior and maxillary ethmoidal sinus (69%), osteomeatal complex (68%), posterior ethmoidal (51%). Patients with severe rhinosinusitis are 12 times more likely to develop dacryocystitis than patients with < 12 points. Men presented greater severity, affectation, and clinical repercussion. Conclusions: There is radiological rhinosinusal involvement in dacryocystitis, which must be evaluated and treated preoperatively to avoid postoperative complications or reinfections. (Copyright: © 2023 Permanyer.) |
| Databáze: | MEDLINE |
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