The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it
Purpose: To study the cosmetic outcome of external dacryocystorhinostomy (Ex-DCR) and to detect the factors affecting it. Patients and Methods: Prospective randomized interventional study included forty patients who were treated by 40 Ex-DCRs. In twenty patients, medial canthal vertical incision was...
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doaj-e7047037b72d4fbfa604f5fc3b16097c2020-11-25T02:28:44ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892016-01-0164426126510.4103/0301-4738.182933The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting itMostafa A WalyOsama E ShalabyMolham A ElbakaryAiman A HashishPurpose: To study the cosmetic outcome of external dacryocystorhinostomy (Ex-DCR) and to detect the factors affecting it. Patients and Methods: Prospective randomized interventional study included forty patients who were treated by 40 Ex-DCRs. In twenty patients, medial canthal vertical incision was used and in the other twenty cases, subciliary incision was used. The skin was closed using vicryl 6-0 or prolene 6-0 interrupted sutures, and each one was randomly used in twenty patients (10 patients of each incision type). Cosmetic outcome was evaluated 6 months postoperative by the patients and by an oculoplastic surgeon on a four grades scale. Cosmetic results and its correlation to patients′ age, sex, skin complexion, type of incision, and type of skin sutures were studied. Results: The mean scar grading was 0.98 ± 1.0 and 1.3 ± 1.0 in patients′ and examiner′s assessment. About 27.5% described their scars as cosmetically significant. The cosmetic outcome was significantly affected by the type of incision with only 5% significant scars in subciliary incision group. Prolene 6-0 suture was associated with better cosmetic results with 15% significant scars. 50% of dark-skinned patients showed cosmetically significant scars. Although no correlation was found between patients′ age and cosmetic outcome, pediatric patients showed higher tendency to scar visibility with mean scar grade 1.2 ± 1.0 and 1.5 ± 0.9 in patients′ and examiner′s assessment. Conclusion: Dark skinned and pediatric patients are more prone to visible Ex-DCR scar. The use of subciliary approach and prolene 6-0 skin sutures is associated with more favorable cosmetic outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=4;spage=261;epage=265;aulast=WalyCosmetic resultsdacryocystorhinostomy incisiondacryocystorhinostomy scarexternal dacryocystorhinostomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mostafa A Waly Osama E Shalaby Molham A Elbakary Aiman A Hashish |
spellingShingle |
Mostafa A Waly Osama E Shalaby Molham A Elbakary Aiman A Hashish The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it Indian Journal of Ophthalmology Cosmetic results dacryocystorhinostomy incision dacryocystorhinostomy scar external dacryocystorhinostomy |
author_facet |
Mostafa A Waly Osama E Shalaby Molham A Elbakary Aiman A Hashish |
author_sort |
Mostafa A Waly |
title |
The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it |
title_short |
The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it |
title_full |
The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it |
title_fullStr |
The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it |
title_full_unstemmed |
The cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it |
title_sort |
cosmetic outcome of external dacryocystorhinostomy scar and factors affecting it |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2016-01-01 |
description |
Purpose: To study the cosmetic outcome of external dacryocystorhinostomy (Ex-DCR) and to detect the factors affecting it. Patients and Methods: Prospective randomized interventional study included forty patients who were treated by 40 Ex-DCRs. In twenty patients, medial canthal vertical incision was used and in the other twenty cases, subciliary incision was used. The skin was closed using vicryl 6-0 or prolene 6-0 interrupted sutures, and each one was randomly used in twenty patients (10 patients of each incision type). Cosmetic outcome was evaluated 6 months postoperative by the patients and by an oculoplastic surgeon on a four grades scale. Cosmetic results and its correlation to patients′ age, sex, skin complexion, type of incision, and type of skin sutures were studied. Results: The mean scar grading was 0.98 ± 1.0 and 1.3 ± 1.0 in patients′ and examiner′s assessment. About 27.5% described their scars as cosmetically significant. The cosmetic outcome was significantly affected by the type of incision with only 5% significant scars in subciliary incision group. Prolene 6-0 suture was associated with better cosmetic results with 15% significant scars. 50% of dark-skinned patients showed cosmetically significant scars. Although no correlation was found between patients′ age and cosmetic outcome, pediatric patients showed higher tendency to scar visibility with mean scar grade 1.2 ± 1.0 and 1.5 ± 0.9 in patients′ and examiner′s assessment. Conclusion: Dark skinned and pediatric patients are more prone to visible Ex-DCR scar. The use of subciliary approach and prolene 6-0 skin sutures is associated with more favorable cosmetic outcome. |
topic |
Cosmetic results dacryocystorhinostomy incision dacryocystorhinostomy scar external dacryocystorhinostomy |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=4;spage=261;epage=265;aulast=Waly |
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