Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
The Association Between Congenital Nasolacrimal Duct Obstruction, Adenoiditis/Tonsilitis and Otitis Media
Author: Yasaman Ataei
ePoster Number: 122,00
Purpose
Congenital nasolacrimal duct obstructions (cNLDO) often require surgical intervention after age of 1 and failure of conservative management. While the association between cNLDO and many otolaryngological conditions has not been studied extensively, otitis media (OM) has been reported at higher rate in cNLDO patients. In this study, we aim to investigate the correlation between cNLDO surgery and tonsillectomy/adenoidectomy and otitis media.
Methods
A retrospective chart review at The Children’s Hospital of Philadelphia (CHOP) was completed for two groups: all pediatric patients under age 12 who underwent tear duct surgery and tonsillar/adenoid surgery over a 16-year period (2009-2025) and all pediatric patients under age 5 who underwent tear duct surgery and myringtomy tubes (MT) placement over 10-year period (2009-2023). The association between the surgical management of cNLDO and tonsillectomy/adenoidectomy and MT placement were assessed.
Results
Of 43,793 children studied, we identified 703 patients with both cNLDO and tonsil/adenoid pathology. Out of this number, 263 (37.4%) had both cNLDO surgery and tonsillectomy/adenoidectomy. The need for nasolacrimal surgery was significantly associated with tonsillectomy/adenoidectomy with OR 1.7 (95% CI, 1.2-2.3) and Chi-squared P<0.001.
Subsequently, we identified 1,199 patients with both cNLDO and OM. Out of this number, 174 (19.8%) had both cNLDO surgery and MT placement. The need for nasolacrimal surgery was significantly associated with MT placement with OR 2.0 (95% CI, 1.7-2.4), P<0.001.
Conclusion
This study shows a strong association between nasolacrimal surgery and tonsillectomy/adenoidectomy and myringtomy tubes (MT) placement. Awareness of this correlation, combined with a thorough review of systems and early referrals to the appropriate subspecialists, is essential to facilitate collaborative surgical efforts and minimize anesthesia risk in the pediatric population.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Taylor | Linaburg | The Children’s Hospital of Philadelphia |
| William | Katowitz | The Children’s Hospital of Philadelphia |
Abstract ID: 25-533
