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
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
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.
