Risk Factors for Poor Surgical Outcome of Pediatric Nasolacrimal Duct Obstruction
| Autor: | Jamie Dietze, Donny W. Suh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Time Factors Risk Assessment 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Lacrimal Duct Obstruction 030225 pediatrics medicine Humans Child Strabismus Retrospective Studies business.industry Incidence Nebraska General Medicine Odds ratio medicine.disease Obstructive sleep apnea Ophthalmology Treatment Outcome Nasolacrimal duct obstruction Upper respiratory tract infection Case-Control Studies Pediatrics Perinatology and Child Health 030221 ophthalmology & optometry Balloon dilation Female Observational study Trisomy business Dacryocystorhinostomy Nasolacrimal Duct Follow-Up Studies |
| Zdroj: | Journal of Pediatric Ophthalmology & Strabismus. 56:261-264 |
| ISSN: | 1938-2405 0191-3913 |
| Popis: | Purpose: To determine whether there are common factors that may help predict if a child is at a higher risk for surgical failure for nasolacrimal duct obstruction. Methods: This retrospective, observational case-control clinical study reviewed patient factors present prior to surgical intervention and their correlation with the necessity of multiple surgeries. A pediatric ophthalmologist identified patients who required surgical correction based on symptom history refractory to conservative management. Patients were grouped by the need for multiple surgical interventions versus single surgery. Patient factors hypothesized to predispose patients to an unsuccessful initial procedure were compared via odds ratio analysis. Patient success was based on symptom resolution 6 months postoperatively. Results: Patient factors with statistically significant increased odds ratios were trisomy 21, allergic rhinitis/seasonal allergies, history of an upper respiratory tract infection within 1 month, and obstructive sleep apnea. Conclusions: This study suggests that patients with trisomy 21 or a history of recent upper respiratory tract infection may be correlated with a higher risk of failure with a probing and irrigation surgery only. Patients with trisomy 21 may benefit from an initial balloon dilation procedure rather than probing and irrigation, due to an increased risk profile. Patients with a recent upper respiratory tract infection may benefit from postponing surgery until symptom treatment or resolution. [ J Pediatr Ophthalmol Strabismus . 2019;56(4):261–264.] |
| Databáze: | OpenAIRE |
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