{Reference Type}: Journal Article
{Title}: Age and number of lesions predict chalazion recurrence.
{Author}: Sorensen R;Calderara G;Welsh J;Hick E;Hsiou D;Chen A;Hunt PJ;Mehta JJ;Allen RC;Williams K;
{Journal}: Orbit
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jun 11
暂无{DOI}: 10.1080/01676830.2024.2363973
{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.