دورية أكاديمية
High incidence and recurrence of tympanostomy tube procedures in children who underwent nasolacrimal duct probe and intubation for congenital nasolacrimal duct obstruction.
| العنوان: | High incidence and recurrence of tympanostomy tube procedures in children who underwent nasolacrimal duct probe and intubation for congenital nasolacrimal duct obstruction. |
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| المؤلفون: | Vicinanzo MG; Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama; Alabama Oculoplastic Associates, PC, Birmingham, Alabama. Electronic address: vicinanzo@gmail.com., Cooper KM; University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, Alabama., Gerber AL; Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama., Long J; Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama; Alabama Oculoplastic Associates, PC, Birmingham, Alabama., McGwin G Jr; Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama; University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, Alabama. |
| المصدر: | Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2023 Oct; Vol. 27 (5), pp. 286.e1-286.e4. Date of Electronic Publication: 2023 Sep 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 9710011 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-3933 (Electronic) Linking ISSN: 10918531 NLM ISO Abbreviation: J AAPOS Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [New York] : Elsevier Inc. Original Publication: St. Louis, MO : Mosby-Year Book, Inc., c1997- |
| مواضيع طبية MeSH: | Lacrimal Duct Obstruction*/therapy , Lacrimal Duct Obstruction*/congenital , Nasolacrimal Duct*/surgery , Dacryocystorhinostomy*, Child ; Humans ; Infant ; Incidence ; Retrospective Studies ; Middle Ear Ventilation ; Intubation/methods ; Intubation, Intratracheal ; Treatment Outcome |
| مستخلص: | Purpose: To determine the incidence of tympanostomy tube (T-tube) insertion in children who required probing and intubation for congenital nasolacrimal duct obstruction (CNLDO) at a single academic institution and to analyze success rates. Methods: The medical records of 92 patients who underwent nasolacrimal probing and intubation for CNLDO over a 9-year period were reviewed retrospectively. A preoperative questionnaire was given to the patient's guardian concerning laterality of CNLDO, history of otitis media (OM) antibiotic therapy, history of T-tube placement and number placed. At least 12 months following the initial nasolacrimal duct P&I, a second questionnaire was administered regarding resolution of CNLDO symptoms, additional measures taken to relieve postoperative symptoms if present, and any further history regarding OM episodes or T-tube insertion. Results: Of the 92 children with CNLDO, 37 (40%) required T-tubes either prior to or following nasolacrimal duct probing and intubation, a rate higher than in the general population (P < 0.00001). 21 (56%) of CNLDO probing and intubation patients who required T-tubes required at least two sets, at different times, to relieve OM symptoms. Six of 37 patients (16%) with a history of T-tube placement and 1 of 55 (2%) with no history of T-tube placement had persistent epiphora after nasolacrimal probing and intubation (relative risk, 8.92; P = 0.0388). Conclusions: In our study cohort, pediatric patients with CNLDO who required nasolacrimal probing and intubation were at higher risk of needing T-tubes for chronic OM than the general population, and those needing T-tubes were at increased risk of residual epiphora. (Copyright © 2023 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20230921 Date Completed: 20231023 Latest Revision: 20231024 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jaapos.2023.08.005 |
| PMID: | 37734706 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1528-3933 |
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| DOI: | 10.1016/j.jaapos.2023.08.005 |