Efficacy of combined surgical techniques in the correction of congenital dacryocystitis and nasolacrimal malformations: a systematic review of functional outcomes and complications in pediatric patients

Autores

DOI:

https://doi.org/10.56183/iberojhr.v5i1.708

Palavras-chave:

Congenital dacryocystitis, Nasolacrimal malformations, Surgical techniques, Pediatric outcomes, Dacryocystorhinostomy.

Resumo

Background: Congenital dacryocystitis and nasolacrimal malformations can frequently cause epiphora in pediatric patients and often require surgical intervention. Complexity of these conditions needs application of combined surgical techniques to address specific anatomical and pathological challenges.

Objective: The systematic search strategy was followed to evaluate functional outcomes and complications which are associated to combined surgical techniques for congenital dacryocystitis and nasolacrimal malformations among pediatric populations while focusing on studies published between 2019 and 2023. Methods: We followed comprehensive search across databases like PubMed, Embase and Scopus to identify studies reporting on pediatric outcomes and outcomes of surgical interventions and associated complications. We selected total of 24 studies for final analysis and all these studies were focusing on techniques such as dacryocystorhinostomy (DCR), probing and balloon dilation among others. Results: The results of this systematic review has revealed significant variations of outcomes. Some techniques were demonstrating higher success rates for specific age groups or severity levels. For example, silicone intubation combined with probing was more effective in older children while endoscopic DCR showed high success in severe cases. Minimally invasive methods like transcanalicular diode laser DCR were favored for their reduced recovery time and lower complication rates. Conclusions: After all research, it is concluded that tailored surgical approaches based on age, obstruction severity and anatomical factors can be helpful for optimizing treatment outcomes. Combined techniques offer promising results although further research is needed to refine treatment protocols and investigate new technologies for improved diagnosis and intervention.

Biografia do Autor

Jorge Santiago Saucedo Rizo, Hospital Central Sur De Alta Especialidad PEMEX, México

Médico Oftalmólogo, Hospital Central Sur De Alta Especialidad PEMEX, México.

Maria Luisa Guerrero Jiménez, Facultad de Ciencias Médicas y Biológicas "Dr. Ignacio Chávez", México

7° año de licenciatura en Médico Cirujano y partero como Médico pasante del servicio social, Facultad de Ciencias Médicas y Biológicas "Dr. Ignacio Chávez", México.

Daniel Sebastian Zamora Gutierrez, Escuela de Medicina y Ciencias de la Salud, Instituto Tecnológico y de Estudios Superiores de Monterrey, México

Médico Cirujano, Residente primer año otorrinolaringólogos, Escuela de Medicina y Ciencias de la Salud, Instituto Tecnológico y de Estudios Superiores de Monterrey, México.

Paola Carolina Astudillo González, Universidad Anahuac Mayab, México

Licenciatura en biotecnología, Universidad Anahuac Mayab, México.

Natalia Quintero Serrano, Universidad Santiago de Cali, Colombia

Residente Toxicología Clínica, Universidad Santiago de Cali, Colombia.

Domenica Raquel Villacis Cabezas, Investigador Independiente, Ecuador

Médico General, Quito, Ecuador.

Elizabeth Contreras Vargas, Escuela de Medicina Intermedica, México

Estudiante de la carrera de médico cirujano, Escuela de Medicina Intermedica, México.

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Publicado

2025-01-15

Como Citar

Saucedo Rizo, J. S., Guerrero Jiménez, M. L., Zamora Gutierrez, D. S., Astudillo González, P. C., Quintero Serrano, N., Villacis Cabezas, D. R., & Contreras Vargas, E. (2025). Efficacy of combined surgical techniques in the correction of congenital dacryocystitis and nasolacrimal malformations: a systematic review of functional outcomes and complications in pediatric patients. Ibero-American Journal of Health Science Research, 5(1), 40–46. https://doi.org/10.56183/iberojhr.v5i1.708