R1 Role of Conservative Measures in Management of Pediatric Epiphora

Document Type : Original Article

Authors

1 associate professor of otorhinolaryngology, faculty of medicine, minia university

2 professor of otorhinolaryngology faculty of Medicine, Minia University

3 professor of ophthalmology faculty of medicine, Minia university

4 assistant lecturer of otorhinolaryngology otorhinolaryngology dept Minia university

5 associate professor of Otorhinolaryngology, faculty of medicine, Minia University

Abstract

Objective: to evaluate the efficacy of conservative and medical management of pediatric congenital nasolacrimal duct obstruction (CNLDO) associated with nasal allergy.



Method: The current research is a prospective study on 28 pediatric cases (40 eyes) visiting ENT and ophthalmology departments of Minia university hospital presented with epiphora due to CNLDO above age of 1 year and below the age of 8 years. The epiphora is associated with nasal allergy. Those cases had been received medical and conservative treatment for 3 months.



Results: All 28 cases received conservative measures and medical treatment prescribed by ophthalmology and E.N.T doctors. These measures were successful in cure of epiphora in 11 of 28 patients (16 of 40 eyes). The overall success rate is 39.3% of our patients (40% of eyes).



Conclusion:

We showed for the first time the impact of E.N.T evaluation and nasal allergy conservative management on the outcome of CNLDO from total number of 28 patients up to 40% showed improvement with medical treatment. So, many pediatric cases will not need invasive or surgical intervention. Lead to minimizing childhood morbidity as regarding hazards of general anesthesia and or surgical complications.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 05 November 2023

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