دورية أكاديمية

Comparative efficacy of probing with or without intubation, and/or inferior turbinate fracture in simple congenital nasolacrimal duct obstruction: a randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Comparative efficacy of probing with or without intubation, and/or inferior turbinate fracture in simple congenital nasolacrimal duct obstruction: a randomized clinical trial.
المؤلفون: Soltani Shahgoli S; Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Zand A; Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Jamshidian Tehrani M; Department of Oculofacial Plastic and Reconstructive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Bahremani E; Nikoukari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran., Rajabi MT; Department of Oculofacial Plastic and Reconstructive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Aghajani A; Department of Oculofacial Plastic and Reconstructive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran., Rafizadeh SM; Department of Oculofacial Plastic and Reconstructive Surgery, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. mohsen_raf1354@yahoo.com.
المصدر: Scientific reports [Sci Rep] 2024 Sep 02; Vol. 14 (1), pp. 20324. Date of Electronic Publication: 2024 Sep 02.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Nature Publishing Group, copyright 2011-
مواضيع طبية MeSH: Turbinates*/surgery , Lacrimal Duct Obstruction*/congenital , Lacrimal Duct Obstruction*/therapy , Nasolacrimal Duct*/surgery , Intubation*/methods, Humans ; Female ; Male ; Infant ; Child, Preschool ; Double-Blind Method ; Treatment Outcome ; Dacryocystorhinostomy/methods
مستخلص: To compare the success rates of probing with or without monocanalicular intubation, and/or inferior turbinate fracture in resolving simple congenital nasolacrimal duct obstruction (CNLDO). A randomized, double-blind clinical trial was conducted on children aged 12-36 months exhibiting symptoms of epiphora and/or mucous discharge along with a positive fluorescein dye disappearance test (DDT). Patients were randomly assigned to one of the following interventions: (1) probing; (2) probing and monocanalicular intubation; (3) probing and inferior turbinate fracture; (4) probing, inferior turbinate fracture, and monocanalicular intubation. Participants were categorized into two age groups (12-24 months and 24-36 months) and assessed for resolution of CNLDO three months post-surgery. Success was defined as the absence of epiphora or mucopurulent discharge and a negative DDT. Among the 201 participants, 51 underwent probing alone, 53 underwent probing with intubation, 47 underwent probing with turbinate fracture, and 50 underwent probing with turbinate fracture and intubation. No significant differences were observed in age, gender, or laterality of the disease between the groups (Ps > 0.05). While there was no significant difference in success rates among interventions in both age groups (Ps > 0.05), patients aged 24-36 months who underwent interventions involving intubation exhibited a significantly higher success rate compared to those without intubation (93.0% vs. 76.2%; P = 0.018). However, this difference was not observed in patients aged 12-24 months (95.7% vs. 92.9%; P = 0.551). Incorporating interventions such as intubation and/or turbinate fracture alongside conventional probing does not significantly alter the success rate of simple CNLDO resolution in children aged 12-24 months. However, older patients (24-36 months) may derive greater benefits from interventions involving intubation.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Congenital nasolacrimal duct obstruction; Intubation; Monocanalicular; Probing; Randomized clinical trial; Turbinate fracture
تواريخ الأحداث: Date Created: 20240902 Date Completed: 20240902 Latest Revision: 20240905
رمز التحديث: 20240905
مُعرف محوري في PubMed: PMC11369177
DOI: 10.1038/s41598-024-71469-1
PMID: 39223204
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-2322
DOI:10.1038/s41598-024-71469-1