Postoperative Evaluation of Skin Incision in External Dacryocystorhinostomy
Vol. 20, No. 5, pp 358–361 ©2004 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.
Martin H. Devoto, M.D.*, Maria C. Zaffaroni, M.D.*, Francesco P. Bernardini, M.D., and Carlo de Conciliis, M.D.Consultores Oftalmológicos, Buenos Aires, Argentina; Genova, Italy; and Milan, Italy.
To evaluate the appearance of the skin incision in external dacryocystorhinostomy 6 weeks and 6 months after surgery.
A prospective, interventional, noncomparative case series of consecutive cases of external dacryocystorhinostomy was performed by 3 surgeons. At 6 weeks and 6 months after surgery, patients were asked to grade their incision, and standardized photographs were evaluated by 3 blinded observers.
Thirty-four consecutive patients were admitted and followed for 6 months. Six weeks after surgery, 9 of 34 patients could not see their incision site (26%), 13 of 34 graded it as minimally visible (38%), 9 of 34 (26%) graded it as moderately visible, and 3 of 34 patients (9%) graded it as very visible (grade 3). Two of 34 patients (6%) were not satisfied with the appearance of the incision.
Six months after surgery, 15 of 34 patients (44%) could not see their incision site (grade 0), 16 of 34 (47%) graded it as minimally visible, 3 of 34 patients (9%) graded it as moderately visible, and no patient graded it as very visible.
All patients were satisfied with the appearance of their incision. Photographic evaluation of patients 6 weeks after surgery by the 3 observers showed an average score of 1.12, 1.18, and 1.24.
There was not a statistically significant difference between the observers (p 0.95). At 6 months after surgery, the average scores were 0.56, 0.74, and 0.79. There was not a statistically significant difference between the observers (p 0.43). The change in appearance of the incision at 6 weeks and at 6 months was statistically significant (p 0.044), as evaluated by patients and observers (p 0.001).
The skin incision in external dacryocystorhinostomy is satisfactory to most patients. Its appearance is improved with time; 86% of the incisions were
graded invisible or minimally visible by observers and 91% by patients after 6 months.