“…Obstructions of the NLD occur due to multifactorial mechanisms that can be divided into primary (or congenital) and secondary related to infectious, inflammatory, or mechanical etiologies that may be associated with surgical procedures such as turbinectomies, frontal sinus surgeries, maxillary osteotomies, external or endoscopic maxillectomies, rhinoplasties, reduction and fixation of facial fractures, among others [4,9]. These procedures can damage the NLD and produce ocular conditions such as posttraumatic epiphora or lead to obstruction of lacrimal flow due to edema in soft tissues resulting in the involvement of the nasolacrimal complex [10][11][12][13][14]. Small changes in the diameter of the bony nasolacrimal canal whose normal values have been evaluated by several studies can cause these types of conditions [15].…”