Abstract：
UNASSIGNED: Periocular lesions in pediatric patients usually require general anesthesia for surgical intervention. The US Food and Drug Administration (FDA) warns against multiple exposures to anesthesia in children younger than 3 years due to the increased risk of learning disabilities in this population. This study aimed to evaluate risk factors associated with chalazion recurrence after surgery.
UNASSIGNED: A retrospective chart review over a five-year period identified 649 patients at our institution undergoing surgical intervention for chalazion. The primary outcomes examined were as follows: (1) return to the operating room for additional surgical intervention and (2) recurrence of chalazion during convalescence from surgery and follow-up.
UNASSIGNED: Fewer than one-third of patients suffered a recurrence after surgery. Multivariate logistic regression found younger age (p = 0.01), female sex (p = 0.01), and a greater number of chalazia drained (p < 0.001) were significantly correlated with recurrence of chalazia after surgery.
UNASSIGNED: Patients presenting at a younger age and with a greater number of chalazion were statistically more likely to have a recurrence of chalazion after surgery. Given recurrence is more likely in younger children, reconciling this with the risk-benefit ratio with regard to FDA guidelines on anesthesia in children under three years is a critical consideration for ophthalmologists.
UNASSIGNED: A retrospective chart review over a five-year period identified 649 patients at our institution undergoing surgical intervention for chalazion. The primary outcomes examined were as follows: (1) return to the operating room for additional surgical intervention and (2) recurrence of chalazion during convalescence from surgery and follow-up.
UNASSIGNED: Fewer than one-third of patients suffered a recurrence after surgery. Multivariate logistic regression found younger age (p = 0.01), female sex (p = 0.01), and a greater number of chalazia drained (p < 0.001) were significantly correlated with recurrence of chalazia after surgery.
UNASSIGNED: Patients presenting at a younger age and with a greater number of chalazion were statistically more likely to have a recurrence of chalazion after surgery. Given recurrence is more likely in younger children, reconciling this with the risk-benefit ratio with regard to FDA guidelines on anesthesia in children under three years is a critical consideration for ophthalmologists.
摘要：
■儿科患者的眼周病变通常需要全身麻醉进行手术干预。美国食品和药物管理局（FDA）警告3岁以下儿童不要多次暴露于麻醉，因为该人群的学习障碍风险增加。本研究旨在评估与手术后睑板病复发相关的危险因素。
■一项为期五年的回顾性图表回顾确定了我们机构的649名患者正在接受手术治疗。检查的主要结果如下：（1）返回手术室进行额外的手术干预，以及（2）在手术和随访的康复期复发。
■不到三分之一的患者在手术后复发。多因素logistic回归发现年龄较小(p=0.01)，女性（p=0.01），更多的结束液（p<0.001）与手术后结束液的复发显着相关。
■年龄较低且有较多睑板病的患者在手术后更有可能复发。鉴于复发更可能发生在年幼的儿童中，将这一点与FDA关于3岁以下儿童麻醉指南的风险-获益比进行协调是眼科医生的一个重要考虑因素.
■一项为期五年的回顾性图表回顾确定了我们机构的649名患者正在接受手术治疗。检查的主要结果如下：（1）返回手术室进行额外的手术干预，以及（2）在手术和随访的康复期复发。
■不到三分之一的患者在手术后复发。多因素logistic回归发现年龄较小(p=0.01)，女性（p=0.01），更多的结束液（p<0.001）与手术后结束液的复发显着相关。
■年龄较低且有较多睑板病的患者在手术后更有可能复发。鉴于复发更可能发生在年幼的儿童中，将这一点与FDA关于3岁以下儿童麻醉指南的风险-获益比进行协调是眼科医生的一个重要考虑因素.
