search
for
 About Bioline  All Journals  Testimonials  Membership  News  Donations


Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 2008-2150
Vol. 17, No. s2, 2007, pp. 268-272
Bioline Code: pe07053
Full paper language: Farsi
Document type: Research Article
Document available free of charge

Iranian Journal of Pediatrics, Vol. 17, No. s2, 2007, pp. 268-272

 en The Effect of Lacrimal Sac Massage, Probing with Irrigation or Air Insufflations in Congenital Nasolacrimal duct obstruction
Yaghoubi, Gholam-Hossein; Heidari, Behrouz & Nasiri, Ahmad

Abstract

Objective:The most common cause of lacrimation in children is congenital nasolacrimal duct obstruction. Although there is a belief that the most of them resolve spontaneously, there is no agreement in the time and type of treatment. This study was done to determine the success rate of three approaches to treatment of congenital nasolacrimal duct obstruction in children aged 12-24 months.
Material & Methods: From February 2006 to December 2006, 60 12-24 month-old children with congenital nasolacrimal duct obstruction were enrolled in this study. The parents that agreed to probing were divided accidentally into two groups of probing and irrigation, and probing and air insufflation. The parents that agreed to wait for a month went to conservative management with office massage of the nasolacrimal duct and treatment with antibiotics by ophthalmologist.
Findings: Of 60 children included in this study 27(45%) were females and 33(55%) males. The mean age of children in the group of probing with irrigation was 18.09 months, probing and air insufflation 19.44 months, and in group of conservative management 19.41 months. The success rate was 91.30% in the group of probing and irrigation, 96% in the group of probing and air insufflation, and 100% in the group for conservative treatment.
Conclusion: Congenital nasolacrimal duct obstruction in almost all of children resolved spontaneously or by simple surgical intervention (probing). The persistent cases may have structural abnormality in nasolacrimal duct or nasal anatomy. Our study showed that conservative and surgical approach in children aged 12-24 months have a favorable outcome, therefore the age can not be a relevant factor in selection of the type of treatment in congenital nasolacrimal duct obstruction.

Keywords
Congenital nasolacrimal duct obstruction , Conservative treatment , Lacrimation , Surgical treatment

 
© Copyright 2007 - TUMS PUBLICATIONS
Alternative site location: http://diglib.tums.ac.ir/pub/

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2017, Site last up-dated on 05-Dec-2017.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Internet Data Center of Rede Nacional de Ensino e Pesquisa, RNP, Brazil