Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Miadında Doğan Bebeklerde Konjenital Nazolakrimal Kanal Tıkanıklığı Risk Faktörlerinin Değerlendirilmesi
Assessment of the Risk Factors of Congenital Nasolacrimal Duct Obstruction in Term Newborns
Serdar ÖZATEŞa, Emrah Utku KABATAŞb, Bengi Ece KURTULc
aGöz Hastalıkları Kliniği, Kars Harakani Devlet Hastanesi, Kars, TÜRKİYE
bGöz Hastalıkları Kliniği, Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Ankara, TÜRKİYE
cGöz Hastalıkları ABD, Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Hatay, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2019;28(3):110-4
doi: 10.5336/pediatr.2019-66754
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmamızın amacı, miadında doğan bebeklerde konjenital nazolakrimal kanal tıkanıklığı (NLKT) risk faktörlerinin değerlendirilmesidir. Gereç ve Yöntemler: Bu retrospektif ve kesitsel çalışmaya, Ocak 2010-Mayıs 2018 tarihleri arasında göz hastalıkları polikliniğine başvuran ve konjenital NLKT tanısı olan bebekler ve sağlıklı bebekler dâhil edildi. Çalışmaya dâhil edilen bebeklerin gestasyonel yaşı, doğum kilosu, doğum şekli ile annenin yaşı, daha önceki canlı doğum sayısı, gebelik sırasında ilaç kullanımı gerektiren sistemik enfeksiyon öyküsü ve sigara kullanımı hasta dosyalarından tarandı. Konjenital NLKT'si bulunan hastalar NLKT grubuna dâhil edilirken, hiçbir sağlık problemi olmayan bebekler ise kontrol grubuna alındı. Bulgular: Çalışmaya dâhil edilen 2060 bebekten konjenital NLKT tanısı olan 1030 bebek NLKT grubuna dâhil edilirken 1030 sağlıklı bebek kontrol grubuna dâhil edildi. Konjenital NLKT'nin sezaryen ile doğan bebeklerde istatistiksel anlamlı olarak daha sık olduğu tespit edildi (p<0,001). Bilateral konjenital NLKT'nin sezaryen ile doğan bebeklerde istatistiksel anlamlı olarak daha sık olduğu tespit edildi (p=0,035). Regresyon analizi sonucunda sezaryen ile doğumun konjenital NLKT riskini 1,4 kat artırdığı tespit edildi (p<0,001). Gestasyonel yaşın, doğum ağırlığının, anne yaşının, kardeş sayısının, sigara kullanımının, gebelik sırasında ilaç kullanımı gerektiren sistemik enfeksiyon hikâyesinin ve kardeşlerde konjenital NLKT hikâyesinin bu gelişimsel bozukluk için risk faktörü olmadığı tespit edildi (p>0,05). Sonuç: Çalışmamız, miadında doğan bebeklerde sezaryen ile doğumun, konjenital NLKT riskini artırdığını göstermiştir.

Anahtar Kelimeler: Nazolakrimal kanal tıkanıklığı; sezaryen; vajinal doğum
ABSTRACT
 ABSTRACT Objective: To assess the risk factors of congenital nasolacrimal duct obstruction (NLDO) in term newborns. Material and Methods: This retrospective and cross-sectional study included healthy newborns and newborns that were diagnosed with NLDO between January 2010 and May 2018. Gestational age, birth weight, delivery methods, maternal age, maternal parity, history of systemic infection that required systemic drug use during pregnancy and history of smoking were noted. Patients with congenital NLDO formed the NLDO group and healthy newborns with no medical history formed the control group. Results: Present study included 2060 newborns. 1030 patients with congenital NLDO were included in the NLDO group and 1030 healthy newborns were included in the control group. Congenital NLDO was more frequent in babies born via cesarean section (p<0.001). Bilateral NLDO was also more frequent in babies born via cesarean section (p=0.035). Regression analysis revealed that congenital NLDO risk was 1.4-fold higher in patients born via cesarean section (p<0.001). Gestational age, birth weight, delivery methods, maternal age, maternal parity, smoking, history of systemic infection that required systemic drug use during pregnancy and history of congenital NLDO in siblings were not considered as risk factor for congenital NLDO (p>0.05). Conclusion: The present study showed that cesarean delivery increased the risk of congenital NLDO in term newborns.

Keywords: Nasolacrimal duct obstruction; cesarean section; vaginal delivery
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