Otolaryngological findings in congenital nasolacrimal duct obstruction and implications for prognosis

• Published in: British journal of ophthalmology Vol. 84; no. 8; pp. 917 - 918
• Main Authors: UGURBAS, S. H, ZILELIOGLU, G, SAATCI, M
• Format: Journal Article
• Language: English
• Published: BMA House, Tavistock Square, London, WC1H 9JR BMJ Publishing Group Ltd 01.08.2000; BMJ; BMJ Publishing Group LTD
• Subjects: Acoustic Impedance Tests - methods; Age; Biological and medical sciences; Child; Child, Preschool; Congenital diseases; congenital nasolacrimal duct obstruction; Defects; Ear diseases; Follow-Up Studies; Humans; Infant; Lacrimal Duct Obstruction - congenital; Malformations of the eye; Medical sciences; Medical treatment; Nasolacrimal Duct - abnormalities; Ophthalmology; otitis media with effusion; Otitis Media with Effusion - diagnosis; Otitis Media with Effusion - etiology; Otitis Media with Effusion - therapy; Prognosis; Scientific Correspondence; treatment; Human; Manometry; Nose disease; Congenital; Stomatology; Nasolacrimal duct; Osseous palate; Congenital disease; Obstruction; Association; Malformation; Tympanometry; ENT disease; Otitis media; Child
• ISSN: 0007-1161; 1468-2079
• DOI: 10.1136/bjo.84.8.917

AIM To investigate otolaryngological abnormalities associated with congenital nasolacrimal duct obstruction (CNLDO) and their effect on the prognosis. METHODS 65 consecutive cases of CNLDO were followed up with routine otorhinolaryngological examination with tympanometry. RESULTS Otitis media with effusion (OME) and uvula bifida were detected in 44.6% and 9.2% of the children, respectively. Medical treatment and probing were less effective in patients with OME (p<0.05). CONCLUSIONS OME and uvula bifida are significant anomalies associated with CNLDO and the former has a marked effect on the prognosis. This finding may help to determine the patients who will need further treatment after massage and probing.