Pediatric Nasolacrimal Duct Obstruction Treatment Outcomes in Malaysia
Author Information
Author(s): Muacevic Alexander, Adler John R, Teoh Chia Yaw, Saravanamuthu Kavitha, Abdul Razak Zulhilmi, W Md Kasim Wan Mariny
Primary Institution: International Islamic University of Medicine (IIUM), Kuantan, MYS
Hypothesis
This study aims to determine the outcomes of probing and external dacryocystorhinostomy (exDCR) for congenital nasolacrimal duct obstruction (cNLDO) and the factors influencing the success rates in pediatric cNLDO.
Conclusion
The success rates for probing and exDCR were 60.5% and 86.4%, respectively, with younger age and absence of dacryocystitis being significant factors for improved outcomes.
Supporting Evidence
- The success rates for probing and exDCR were 60.5% and 86.4%, respectively.
- Children younger than one year had higher success rates compared to older children.
- Absence of dacryocystitis was significantly associated with higher success rates in probing.
Takeaway
Doctors looked at how well two types of surgeries worked for kids with a blocked tear duct, finding one surgery worked better than the other.
Methodology
A retrospective review of electronic records was conducted for patients aged ≤18 years who underwent probing or exDCR, with at least six months of follow-up.
Limitations
The study is limited by its relatively small sample size and the exclusion of children with cNLDO who underwent conservative management.
Participant Demographics
The median age for probing was two years, while the median age for exDCR was eight years, with a nearly equal male-to-female distribution.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI 2.77 - 3.68
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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