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Inferior turbinate fracture and congenital nasolacrimal duct obstruction

Ab Attarzadeh1, M Sajjadi, N Owji

  • 1Department of Ophthalmology, Khalili Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. attarzaa@yahoo.com

European Journal of Ophthalmology
|September 5, 2006
PubMed

Insights

Probing combined with inferior turbinate fracture did not significantly improve success rates for treating congenital nasolacrimal duct obstruction compared to simple probing alone. Both methods showed high success rates in children.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Congenital nasolacrimal duct obstruction (CNLDO) is a common condition in infants.
  • Surgical intervention is often required when conservative management fails.

Purpose of the Study:

  • To compare the success rates of probing with inferior turbinate fracture versus simple probing as a primary treatment for CNLDO in children.

Main Methods:

  • A prospective case-control study involving 86 eyes from 61 children with CNLDO.
  • Patients underwent either probing with inferior turbinate infracture (case group) or simple probing (control group).
  • Outcomes were assessed using ophthalmologic examination and dye disappearance test at 2 months post-surgery.

Main Results:

  • Success rates were 91% for probing with infracture and 82% for simple probing (p=0.4).
  • Good outcomes were observed in 66.7% of the case group and 71.4% of the control group.
  • No statistically significant difference in success rates was found between the two groups.

Conclusions:

  • Inferior turbinate infracture does not enhance the success rate of probing for primary treatment of CNLDO.
  • Simple probing remains an effective first-line surgical approach for CNLDO.
Abstract

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