Dacryocystorhinostomy in adolescents and young adults |
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| Authors: | Miranda Anta S Blanco Mateos G Valverde Collar C |
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| Affiliation: | 1. Servicio de Oftalmología, Hospital Universitario Río Hortega de Valladolid, España;2. Servicio de Oftalmología, Hospital Clínico Universitario de Valladolid, España;1. Department of Immunology and Biotechnology, Tropical Medicine Research Institute, National Centre for Research, Khartoum, Sudan;2. Department of Immunology, Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan;3. National Centre for Research, Ministry of Science and Technology, Khartoum, Sudan;1. Sección de Infección Quirúrgica, Asociación Española de Cirujanos;2. Asociación Española de Cirujanos, por los miembros de la Sección de Infección Quirúrgica y Consejo de Redacción, Asociación Española de Cirujanos;1. Enfermería, Centro de Salud Docente de San Andrés, Docencia, Facultad de Enfermería, Universidad Católica de Murcia (UCAM), Murcia, España;2. Enfermería, Centro de Salud Docente de San Andrés, Murcia, España;3. Medicina de Familia, Centro de Salud Docente de San Andrés, Murcia, España;1. Unidad de Oncología de Cabeza y Cuello, Servicio de Otorrinolaringología, Hospital Universitario Donostia, San Sebastián, Gipuzkoa, España;2. Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, España;3. Servicio de Otorrinolaringología, Instituto Valenciano de Oncología, Valencia, España;4. Servicio de Otorrinolaringología, Hospital Universitario Lucus Augusti, Lugo, España;5. Servicio de Otorrinolaringología, Hospital San Pedro, Logroño, España |
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| Abstract: | ObjectiveTo study the relative frequency, causes, anatomical and functional outcomes and complications of dacryocystorhinostomy (DCR) in patients between the second and fifth decade of life.MethodA retrospective, nonrandomized, interventional study of a clinical series of 12 patients who underwent DCR from March 2007 to March 2009, performed by a single surgeon, with an age range between 10 and 48 years. Recorded data included age at surgery, date of surgery, gender, affected side, cause of obstruction, surgical technique, outcome and complications. The relative frequency of such cases over the total was calculated.ResultsDCR in patients between 13-48 years old represented 14.11% of the total (12:85). In this group 88.8% were females and in 75% surgery was on the right side. The most frequent cause of obstruction was low idiopathic obstruction (58.33%) whereas 41.66% were secondary. An external DCR was performed on 66.67% of patients and the rest were endonasal DCR. Anatomical success was achieved with resolution of symptoms in 91.6% of patients. One case had a hypertrophic scar.ConclusionAdolescents and young adults represent a significant percentage of cases undergoing DCR surgery. Both the external and endoscopic approach is shown to be a valid alternative for treating these patients, with good results and low incidence of complications. |
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