A rare complication of hemolacria after Le fort I osteotomy: a case presentation

Abstract

Background Nasolacrimal duct obstruction (NDO) is a common pathology preventing the proper drainage of the tears, and its main symptom is epiphora. Secondary acquired nasolacrimal duct obstruction (SANDO) can be due to a variety of causes including infection, trauma, or neoplasms. It has been reported to occur with different forms of maxillofacial trauma, especially Le Fort II, Le Fort III, naso-orbital-ethmoidal, and orbital floor fractures. Case presentation A 20-year-old Egyptian female presented to correct a facial disharmony due to a cleft lip and palate defect. The patient reported a history of congenital NDO and had deficient lateral nasal walls. Bimaxillary surgery was planned, including a Le Fort I osteotomy for the maxilla and bilateral sagittal split osteotomy for the mandible. The surgery was uneventful, but the patient complained from bloody tears or hemolacria few days postoperatively. This complication began to cease spontaneously after 2 days and completely recovered after 4 days. Conclusion Hemolacria is an infrequent finding after maxillofacial surgeries and may be associated with CLP surgeries more than other surgeries. In this case, it was easily managed, and surgeons should be more aware of it to try to prevent its occurrence.

Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review

“…Orthognathic surgery is a specialized branch of oral and maxillofacial surgery that focuses on correcting irregularities of the jaw and facial skeleton [ 1 ]. One of the most compelling reasons for the importance of orthognathic surgery lies in its ability to dramatically improve a patient’s quality of life through enhanced functionality [ 2 ].…”