ABSTRACT
The objective of the present study was to improve the effectiveness of surgical intervention for the correction of the deflected nasal septum in the children. The clinical evaluation of the state of 63 patients and the follow-up study demonstrated that the early removal of the pack from the nasal cavity improves the patients' quality of life in the postoperative period and leads to as favourable outcome as the late removal. The application of still mineral water (a weakly alkaline sodium bicarbonate solution) for the irrigation or moistening of the nasal cavity mucosa promoted its rapid regeneration and wound healing.
Subject(s)
Nasal Septum/surgery , Nose Deformities, Acquired/surgery , Rhinoplasty/methods , Adolescent , Child , Child, Preschool , Female , Follow-Up Studies , Humans , Male , Treatment OutcomeSubject(s)
Adenoidectomy , Adenoids/pathology , Adolescent , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , MaleABSTRACT
Posttraumatic dacryocystitis in children are associated with different anatomic defects of the external nose, nasal cavity, eyelids and adjacent tissues. These injuries may complicate conventional endonasal dacryocystorhynostomy. The first step in the treatment of posttraumatic dacryocystitis should be surgical correction of nasal breathing. It is also necessary to apply bone window at least 1.2 cm in diameter followed by formation of the stoma using intubation tube.
Subject(s)
Dacryocystitis/surgery , Dacryocystorhinostomy/methods , Lacrimal Apparatus/injuries , Adolescent , Child , Child, Preschool , Dacryocystitis/diagnosis , Dacryocystitis/etiology , Eyelids/injuries , Humans , Nose/injuries , Orbital Fractures/complications , Prognosis , Retrospective StudiesABSTRACT
The authors propose a procedure of timed catheterization of the nasolacrimal duct for use in children with the duct stenosis and congenital dacryocystitis. The catheter is inserted for 7-10 days. Out of 27 children treated (20 cases of congenital dacryocystitis and 7 cases of the stenosis), a persistent effect was achieved in 24. The authors advocate the method as effective and promising in the above conditions.
Subject(s)
Catheterization , Dacryocystitis/congenital , Dacryocystitis/therapy , Nasolacrimal Duct , Adolescent , Child , Child, Preschool , Constriction, Pathologic/therapy , Female , Humans , Male , Time FactorsABSTRACT
Endonasal dacryocystorhinostomy performed in 78 children gave a steady favourable effect. Such a surgical operation is also recommended in dacryocysts complicated by phlegmons. Concomitant external fistulae of the lacrimal sac usually spontaneously closed after the operation, large fistulas were sutured.
Subject(s)
Dacryocystorhinostomy , Adolescent , Age Factors , Cellulitis/complications , Cellulitis/surgery , Child , Child, Preschool , Dacryocystitis/complications , Dacryocystitis/surgery , Humans , Infant , RecurrenceABSTRACT
Results of endonasal catheterization of the naso-lacrimal canal of 74 children with congenital dacryocystitis (bilateral problem in 10 of them) are presented. Prior to this manipulation, the patients were exposed to contrast X-ray study of the lacrimal sac for diagnostic purposes. Retrograde catheterization as a method for treating congenital dacryocystitis was very good in 97.3% children of up to 2 years old, 50% children of up to 3 years old, and 33.3% children between 3-4 years old. The patency of the naso-lacrimal canal also recovered in an 8-year-old child. All this gives evidence that, irrespective of children's age, retrograde catheterization should be applied to treat congenital dacryocystitis. After the patency of the naso-lacrimal canal was restored, the external fistula of the lacrimal sac was cauterized with 7% solution of trichloroacetic acid.