The outcomes of 326 external dacryocystorhinostomy operations in children with dacryostenosis - 30-year experience of an oculoplastic surgeon

Ornek, Firdevs; Acar, Damla Erginturk; Acar, Ugur

doi:10.5935/0004-2749.20180097

ABSTRACT

Purpose:

To report demographic features and surgical outcomes of 320 children undergoing external dacryocystorhinostomy for dacryostenosis.

Methods:

We performed a retrospective evaluation of the records of patients aged <16 years who underwent external dacryocystorhinostomy. Patient demographic features and success rates of the operations were analyzed from the data records. Children with <12-month follow-up were not enrolled in the study.

Results:

We identified 326 operative records of 320 children (162 [50.6%] girls and 158 [49.4%] boys) who underwent external dacryocystorhinostomy with a mean follow-up of 26.03 ± 11.11 months. Overall, we evaluated 116 (35.6%) cases of congenital nasolacrimal duct obstruction. Our series demonstrated a 99.4% success rate for external dacryocystorhinostomy.

Conclusions:

External dacryocystorhinostomy in children has a high success rate if performed by an experienced oculoplastic surgeon.

Keywords:
Dacryocystorhinostomy; Nasolacrimal duct; Nasal obstruction; Treatment outcome in Humans; Child; Preschool Children; Adolescents

[1] Corresponding author: Firdevs Ornek. E-mail: firdevsornek@yahoo.com

Demographic features	The mean ± SD (min-max)
Demographic features	(n=326 operations in 320 patients)
Age at initial presentation (years)	6.31 ± 5.17
Age at initial presentation (years)	(0-15)
Age at operation time (years)	10.55 ± 3.00
Age at operation time (years)	(3.5-16)
Sex	Female: 162 (50.6%)
Sex	Male: 158 (49.4%)
Laterality	Right: 160 (50.0%)
	Left: 154 (48.1%)
	Bilateral: 6 (1.9%)
Operation type	without BSTI: 233 (71.5%)
	with BSTI: 93 (28.5%)
Follow-up time (months)	26.03 ± 11.11
Follow-up time (months)	(12-96)
Success rates	After the first operation: 99.4%
Success rates	After the second operation: 100%

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