Outcome and Complication of Paediatric Dacryocystorhinostomy at Mardan Medical Complex Ophthalmology Unit


Authors : Dr. Shafqat Ali Shah; Dr. Amir Nasim; Dr. Muhammad Bilal; Dr. Muhammad Tariq; Dr. Saad Ali; Dr. Irsa HIDAYAT; Dr. Ammad Ali; Dr. Nawab Ali Khan

Volume/Issue : Volume 9 - 2024, Issue 3 - March

Google Scholar : https://tinyurl.com/55aeztfh

Scribd : https://tinyurl.com/4xb2a6xs

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAR371

Abstract : Objectives: To assess the results and risks of dacryocystorhinostomy (DCR) operations on patients with nasolacrimal duct obstruction while taking into account variables like gender distribution, side involvement, anesthesia type, and long-term follow-up.  Methodology This study involved the prospective enrollment of 23 patients, all of whom gave their guardians' informed consent. Many DCR procedures were carried out, most of which were left-sided. A silicon tube was used in certain circumstances, and it was taken out after three months. Either local or general anesthesia was used, and all patients were monitored for six months following surgery in order to evaluate the results of the procedure and any problems. We extensively recorded and analyzed the gender distribution, side involvement, type of anesthesia, success rates, and complications.  Results 39% of the 23 patients who were part in the study were female, and 61% of them were male. 69.56% of DCR procedures were carried out on the left side. DCR procedures had an 88.9% success rate, with 21 out of 23 patients being successful. There were two cases of epistaxis, eleven cases of emphysema, and one case of canalicular injury among the observed complications. There were no reports of granuloma development or tube extrusion. Seven patients underwent surgery under local anesthesia, while sixteen underwent general anesthesia.  Conclusion DCR has a good success rate and a low frequency of complications when treating nasolacrimal duct occlusion. The findings highlight how crucial it is to carefully evaluate variables like the kind of anesthesia and the application of supplemental tools like silicon tubes in order to maximize surgical outcomes. For patients with nasolacrimal duct obstruction, DCR appears to be a safe and effective therapeutic option with encouraging outcomes. Larger sample numbers and longer-term follow- up are necessary for validation of these results and investigation of other factors impacting surgical outcomes.

Keywords : Dacryocystitis, Pediatric, Dacryocystorhinostomy, Silicon Tube, Local Anesthesia, General Anesthesia, Complications, Success Rate.

Objectives: To assess the results and risks of dacryocystorhinostomy (DCR) operations on patients with nasolacrimal duct obstruction while taking into account variables like gender distribution, side involvement, anesthesia type, and long-term follow-up.  Methodology This study involved the prospective enrollment of 23 patients, all of whom gave their guardians' informed consent. Many DCR procedures were carried out, most of which were left-sided. A silicon tube was used in certain circumstances, and it was taken out after three months. Either local or general anesthesia was used, and all patients were monitored for six months following surgery in order to evaluate the results of the procedure and any problems. We extensively recorded and analyzed the gender distribution, side involvement, type of anesthesia, success rates, and complications.  Results 39% of the 23 patients who were part in the study were female, and 61% of them were male. 69.56% of DCR procedures were carried out on the left side. DCR procedures had an 88.9% success rate, with 21 out of 23 patients being successful. There were two cases of epistaxis, eleven cases of emphysema, and one case of canalicular injury among the observed complications. There were no reports of granuloma development or tube extrusion. Seven patients underwent surgery under local anesthesia, while sixteen underwent general anesthesia.  Conclusion DCR has a good success rate and a low frequency of complications when treating nasolacrimal duct occlusion. The findings highlight how crucial it is to carefully evaluate variables like the kind of anesthesia and the application of supplemental tools like silicon tubes in order to maximize surgical outcomes. For patients with nasolacrimal duct obstruction, DCR appears to be a safe and effective therapeutic option with encouraging outcomes. Larger sample numbers and longer-term follow- up are necessary for validation of these results and investigation of other factors impacting surgical outcomes.

Keywords : Dacryocystitis, Pediatric, Dacryocystorhinostomy, Silicon Tube, Local Anesthesia, General Anesthesia, Complications, Success Rate.

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