tratamento das obstruções congênitas do ducto nasolacrimal management of congenital nasolacrimal duct obstruction
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ID: 254521
2009
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Abstract
OBJETIVO: Apresentar os resultados do tratamento da obstrução nasolacrimal congênita com a massagem hidrostática de Crigler. MÉTODOS: Cento e oitenta e seis crianças com idade de até 32 meses com obstrução nasolacrimal congênita foram estudadas retrospectivamente de 1990 a 2005. O procedimento foi repetido três vezes em cada sessão, com intervalo de uma semana entre as sessões. A análise foi realizada com o programa informatizado EPI INFO versão 6.04. A signific��ncia estatística foi avaliada pela aplicação dos testes do qui-quadrado e Kruskal-Wallis. RESULTADOS: A faixa de idade predominante nos dois sexos foi de 1 a 5 meses (56,4%), a localização foi bilateral em 36,3%, do lado direito em 34,1% e do lado esquerdo em 29,6%. A epífora estava presente em 100% dos casos e secreção em 56,5%. Curaram com uma sessão 43,6% dos casos, com duas 23,3%, com três 17,4% e com 4 e 5 ou mais sessões 5,8% e 9,0% dos pacientes, respectivamente. Os 14 pacientes que não responderam a massagem foram tratados com sondagem. CONCLUSÃO: A massagem hidrostática de Crigler é efetiva para a obstrução nasolacrimal congênita.
PURPOSE: To present the success rate in treating congenital nasolacrimal duct obstruction with hydrostatic pressure (Crigler method). METHODS: Clinical data from 186 children aged up to 32 months treated from 1990 until 2005 were reviewed retrospectively. The procedure was repeated up to 3 times at a one week interval. Using EPI INFO version 6.04 software for analysis, data were tabulated and statistical significance was evaluated by applying chi-square and Kruskal-Wallis tests. RESULTS: Leading age group was 1 to 5 months old (56.4%) for males and females. Affection was bilateral in 36.3%, 34.1% on right side and 29.6% on the left side. All cases had epiphora and 56.5% presented mucopurulent discharge. Cure was achieved with one massage for 43.6%, 23.3% with two, 17.4% with three and, with 4 and 5+ sessions in respectively 5.8% and 9.0%. Those 14 cases who did not respond to massage were treated with probing. CONCLUSION: The Crigler method was effective in managing congenital nasolacrimal duct obstruction cases.
PURPOSE: To present the success rate in treating congenital nasolacrimal duct obstruction with hydrostatic pressure (Crigler method). METHODS: Clinical data from 186 children aged up to 32 months treated from 1990 until 2005 were reviewed retrospectively. The procedure was repeated up to 3 times at a one week interval. Using EPI INFO version 6.04 software for analysis, data were tabulated and statistical significance was evaluated by applying chi-square and Kruskal-Wallis tests. RESULTS: Leading age group was 1 to 5 months old (56.4%) for males and females. Affection was bilateral in 36.3%, 34.1% on right side and 29.6% on the left side. All cases had epiphora and 56.5% presented mucopurulent discharge. Cure was achieved with one massage for 43.6%, 23.3% with two, 17.4% with three and, with 4 and 5+ sessions in respectively 5.8% and 9.0%. Those 14 cases who did not respond to massage were treated with probing. CONCLUSION: The Crigler method was effective in managing congenital nasolacrimal duct obstruction cases.
| Reference Key |
neto2009arquivostratamento
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|---|---|
| Authors | ;Epaminondas Castelo Branco Neto;Bruno Castelo Branco;Camila Correa Cardoso;Roberson Garcia de Carvalho;Eduardo Mota;André Castelo Branco |
| Journal | introducing innodb cluster: learning the mysql high availability stack |
| Year | 2009 |
| DOI |
10.1590/S0004-27492009000100015
|
| URL | |
| Keywords | Keywords not found |
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