Cosmetic evaluation of surgical scars after external dacryocystorhinostomy
Autor: | Mohammad Saquib, Syed Ali Raza Rizvi, Puneet Maheshwari, Rakesh Maheshwari, Yogesh Gupta, Zafar Iqbal |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry Primary acquired nasolacrimal duct obstruction Scars Surgery 03 medical and health sciences Ophthalmology 030104 developmental biology 0302 clinical medicine Incision Site External dacryocystorhinostomy Clinical Research 030221 ophthalmology & optometry Medicine medicine.symptom business Surgical scar Grading (tumors) |
Popis: | AIM To evaluate the surgical scars of external dacryocystorhinostomy (DCR) cosmetically. METHODS Totally 50 consecutive cases of primary acquired nasolacrimal duct obstruction (PANDO) were included in the study. Surgical scars were assessed by the patients and two independent observers at 2, 6 and 12wk postoperatively on the basis of visibility of the scars and still photographs respectively and were graded from 0-3. Kappa test was utilised to check the agreement of scar grading between the two observers. Wilcoxan signed ranks test was used to analyse the improvement of scar grading. RESULTS Thirty-four (68%) patients graded their incision site as very visible (grade 3) at 2wk. At 6 and 12wk, incision site was observed as grade 3 by 7 (14%) and 1 (2%) patients respectively. Photographic evaluation of patients by 2 observers showed an average score of 2.75, 1.94 and 0.94 at 2, 6 and 12wk respectively. Change in scar grading from grade 3 to grade 0 in consecutive follow-up (2, 6 and 12wk) was found to be highly significant both for the patient as well for the observers (P |
Databáze: | OpenAIRE |
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