It is common practice to prepare the nasal mucosa with decongestant in children undergoing lacrimal surgery. Xylometazoline 0.05% (Otrivine) nasal spray is commonly used. It has been reported to cause cardiovascular side effects. In the absence of formal guidelines on the safety of the use of nasal decongestants in children, we reviewed our practice to answer the question: How safe is preoperative use of xylometazoline in children undergoing lacrimal surgery? To our knowledge, this is the first study to address the potential side effects of the use of xylometazoline preoperatively in children undergoing lacrimal surgery.
This was a retrospective analysis of medical notes of children undergoing lacrimal surgery with the use of preoperative intranasal xylometazoline 0.05% over a 5-year period.
Twenty-nine children, age 1-6 years (mean 3 years), underwent lacrimal surgery under general anesthesia with preoperative use of intranasal xylometazoline. Topical intranasal 1:10,000 adrenaline was used during surgery in all patients. All children were found to have uneventful surgery and recovery from anesthesia.
Xylometazoline 0.05% intranasal use for prelacrimal surgery was found to be effective and safe. Addition of sympathomimetic topical adrenaline (1:10,000) did not impose any risks. The type of general anesthesia may influence the cardiovascular side effects anecdotally recorded during xylometazoline use.
Post author correction
Article Type: ORIGINAL RESEARCH ARTICLE
Article Subject: Oculoplastic eyelid/lacrimal disease
AuthorsVarajini Joganathan, Bijan Beigi
- • Accepted on 22/09/2017
- • Available online on 24/10/2017
This article is available as full text PDF.
- Joganathan, Varajini [PubMed] [Google Scholar] 1, * Corresponding Author (firstname.lastname@example.org)
- Beigi, Bijan [PubMed] [Google Scholar] 2
Oxford Eye Hospital, Oxford - UK
Department of Adnexal, Orbital and Reconstructive Surgery, Norfolk and Norwich University Hospital, Norwich - UK