Pyogenic Granuloma Following Upper Eyelid Tarsotomy; A Retrospective Cohort Study
Author: Samira Al Jabri
Base Hospital / Institution: Oman Medical Specialty Board
ePoster presentation
Abstract ID: 24-125
Purpose
The study aims to investigate the incidence and risk factors associated with the development of pyogenic granuloma following upper eyelid tarsotomy procedures in Omani patients.
Methods
The study conducted a retrospective cohort analysis of 198 Omani patients who underwent upper eyelid tarsotomy procedures. Data collection encompassed patient demographics, clinical details, surgical parameters, and outcomes, including the occurrence and recurrence of pyogenic granuloma. Statistical analyses involved descriptive statistics, independent samples t-tests, Chi-square tests.
Results
The primary outcome revealed an incidence of pyogenic granuloma post upper eyelid tarsotomy procedures at 12.1%, with a 95% confidence interval ranging from 7.9% to 17.5%. The mean duration between surgery and pyogenic granuloma onset was 2.54 months.Risk factor analysis highlighted that undergoing revision surgery did not increase the risk of pyogenic granuloma.There was no significant difference in the risk between monopolar and blade incisions. However, using more than three sutures was a substantial risk factor for pyogenic granuloma development (p-value 0.029). Prophylactic post-operative steroids did not exhibit a statistically significant preventive effect.
Conclusion
The study provides valuable insights into the temporal aspects of pyogenic granuloma development, with a mean duration of 2.54 months between surgery and onset. Notably, certain risk factors were identified, including the use of more than three sutures, while other factors such as revision surgery, type of incision, and prophylactic post-operative steroids did not significantly impact the risk. The recurrence rate post-initial treatment was 8.3%, with no significant differences between medical and surgical interventions. These results contribute to the existing knowledge on pyogenic granuloma in the context of upper eyelid tarsotomy, offering clinicians a basis for refined surgical approaches and postoperative care to minimize the risk of this unfavorable outcome and optimize patient outcomes.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Al Yaqdhan | Al Qafri | Oman Medical Specialty Board |
