Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes
Purpose: To report the incidence of dacryocystoceles detected by prenatal ultrasonography (US) and their postnatal outcomes and to determine the factors associated with the postnatal persistence of dacryocystoceles at birth. Methods: We retrospectively reviewed the prenatal US database at our instit...
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| Format: | Article |
| Language: | English |
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Korean Society of Ultrasound in Medicine
2015-01-01
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| Series: | Ultrasonography |
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| Online Access: | http://www.e-ultrasonography.org/upload/usg-14037.pdf |
| _version_ | 1828793629638918144 |
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| author | Young-Hwa Kim Yu-Jin Lee Mi Jin Song Byoung Hee Han Young-Ho Lee Kyung Sang Lee |
| author_facet | Young-Hwa Kim Yu-Jin Lee Mi Jin Song Byoung Hee Han Young-Ho Lee Kyung Sang Lee |
| author_sort | Young-Hwa Kim |
| collection | DOAJ |
| description | Purpose: To report the incidence of dacryocystoceles detected by prenatal ultrasonography (US) and their postnatal outcomes and to determine the factors associated with the postnatal persistence of dacryocystoceles at birth. Methods: We retrospectively reviewed the prenatal US database at our institution for the period between January 2012 and December 2013. The medical records of women who had fetuses diagnosed with dacryocystocel larger than 5 mm were reviewed for maternal age, gestational age (GA) at detection, size and side of the dacryocystoceles, delivery, and postnatal information, such as GA at delivery, delivery mode, and gender of the neonate. Results: A total of 49 singletons were diagnosed with a dacryocystocele on prenatal US, yielding an overall incidence of 0.43%. The incidence of dacryocystoceles was the highest at the GA of 27 weeks and decreased toward term. Of the 49 fetuses including three of undeter mined gender, 25 (54%) were female. The mean GA at first detection was 31.2 weeks. The dacryocystocele was unilateral in 29 cases, with a mean maximum diameter of 7 mm. Spontaneous resolution at birth was documented in 35 out of 46 neonates (76%), including six with prenatal resolution. Multivariate analysis demonstrated that GA at delivery was a significant predictor of the postnatal persistence of dacryocystoceles (P=0.045). Conclusion: The overall incidence of prenatal dacryocystoceles was 0.43%; the incidence was higher in the early third trimester and decreased thereafter. Prenatal dacryocystoceles resolved in 76% of the patients at birth, and the GA at delivery was a significant predictor of postnatal persistence. |
| first_indexed | 2024-12-12T03:30:47Z |
| format | Article |
| id | doaj.art-1ba0bc6aad69431bb5d3ba81aca91918 |
| institution | Directory Open Access Journal |
| issn | 2288-5919 2288-5943 |
| language | English |
| last_indexed | 2024-12-12T03:30:47Z |
| publishDate | 2015-01-01 |
| publisher | Korean Society of Ultrasound in Medicine |
| record_format | Article |
| series | Ultrasonography |
| spelling | doaj.art-1ba0bc6aad69431bb5d3ba81aca919182022-12-22T00:39:55ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59192288-59432015-01-01341515710.14366/usg.1403762Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomesYoung-Hwa KimYu-Jin LeeMi Jin SongByoung Hee HanYoung-Ho LeeKyung Sang LeePurpose: To report the incidence of dacryocystoceles detected by prenatal ultrasonography (US) and their postnatal outcomes and to determine the factors associated with the postnatal persistence of dacryocystoceles at birth. Methods: We retrospectively reviewed the prenatal US database at our institution for the period between January 2012 and December 2013. The medical records of women who had fetuses diagnosed with dacryocystocel larger than 5 mm were reviewed for maternal age, gestational age (GA) at detection, size and side of the dacryocystoceles, delivery, and postnatal information, such as GA at delivery, delivery mode, and gender of the neonate. Results: A total of 49 singletons were diagnosed with a dacryocystocele on prenatal US, yielding an overall incidence of 0.43%. The incidence of dacryocystoceles was the highest at the GA of 27 weeks and decreased toward term. Of the 49 fetuses including three of undeter mined gender, 25 (54%) were female. The mean GA at first detection was 31.2 weeks. The dacryocystocele was unilateral in 29 cases, with a mean maximum diameter of 7 mm. Spontaneous resolution at birth was documented in 35 out of 46 neonates (76%), including six with prenatal resolution. Multivariate analysis demonstrated that GA at delivery was a significant predictor of the postnatal persistence of dacryocystoceles (P=0.045). Conclusion: The overall incidence of prenatal dacryocystoceles was 0.43%; the incidence was higher in the early third trimester and decreased thereafter. Prenatal dacryocystoceles resolved in 76% of the patients at birth, and the GA at delivery was a significant predictor of postnatal persistence.http://www.e-ultrasonography.org/upload/usg-14037.pdfFetusUltrasonographyCongenital abnormalitiesLacrimal duct obstruction |
| spellingShingle | Young-Hwa Kim Yu-Jin Lee Mi Jin Song Byoung Hee Han Young-Ho Lee Kyung Sang Lee Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes Ultrasonography Fetus Ultrasonography Congenital abnormalities Lacrimal duct obstruction |
| title | Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes |
| title_full | Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes |
| title_fullStr | Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes |
| title_full_unstemmed | Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes |
| title_short | Dacryocystocele on prenatal ultrasonography: diagnosis and postnatal outcomes |
| title_sort | dacryocystocele on prenatal ultrasonography diagnosis and postnatal outcomes |
| topic | Fetus Ultrasonography Congenital abnormalities Lacrimal duct obstruction |
| url | http://www.e-ultrasonography.org/upload/usg-14037.pdf |
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