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

Autor:	Rohit Saiju, Anna G Gushchin, Nicole S Lim, Sulaxmi Katwal, Ben Limbu, Michelle L. Faierman
Rok vydání:	2017
Předmět:	Adult Male Pediatrics medicine.medical_specialty Prognostic factor Adolescent Adult age 03 medical and health sciences 0302 clinical medicine Postoperative Complications Age groups Nepal External dacryocystorhinostomy Lacrimal Duct Obstruction Adjuvant therapy medicine Humans 030223 otorhinolaryngology Child Intraoperative Complications Aged Retrospective Studies Aged 80 and over Adult patients business.industry Significant difference Age Factors Infant Retrospective cohort study Middle Aged Prognosis eye diseases Ophthalmology Child Preschool 030221 ophthalmology & optometry Female sense organs business Dacryocystorhinostomy Nasolacrimal Duct
Zdroj:	Orbit (Amsterdam, Netherlands). 36(4)
ISSN:	1744-5108
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7ff434795da8b2ab2b91622cacff17fe https://pubmed.ncbi.nlm.nih.gov/28362560 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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