Nasolacrimal System Injuries

Rocca, David A. Della; Ahmad, S.; Preechawi, P.; Schaefer, Steven David; Rocca, Robert C. Della

doi:10.1007/978-3-540-68215-8_9

Cited by 4 publications

(3 citation statements)

References 46 publications

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“…Due to loss of bony anatomical landmarks after trauma and subsequent surgery, endoscopic, endonasal, or laser DCR is not advisable in traumatic NLDO. There may be sclerosis and gross thickening of the bones after trauma, requiring drills or chisel-hammer to initiate the osteotomy (24). Hence it is preferable to operate cases of traumatic NLDO under general anesthesia whenever preoperative assessment predicts such intraoperative difficulty.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Nasolacrimal Duct Obstruction: Clinical Profile, Management, and Outcome

Mukherjee

Dhobekar

2013

European Journal of Ophthalmology

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Section: Discussionmentioning

confidence: 99%

Traumatic Nasolacrimal Duct Obstruction: Clinical Profile, Management, and Outcome

Mukherjee

Dhobekar

2013

European Journal of Ophthalmology

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“…Silicone intubation is utilized in all cases of trauma because of the presumed predisposition to inflammation after trauma [24]. The tube is removed after 6 months which is sufficient for fibrosis of the tract to occur.…”

Section: Discussionmentioning

confidence: 99%

Management of Traumatic Dacryocystitis and Failed Dacryocystorhinostomy Using Silicone Lacrimal Intubation Set

Rizvi

Sharma

Tripathy

et al. 2011

Indian J Otolaryngol Head Neck Surg

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The aim of this work is to study the management and success rate of traumatic dacryocystitis and failed dacryocystorhinostomy (DCR) using Silicone lacrimal intubation set. A prospective study was conducted at a tertiary eye care hospital, India from February 2006 to January 2008. This study material comprised 50 patients of traumatic dacryocystitis and failed dacryocystorhinostomy. Anterior single flap external dacryocystorhinostomy with Silicon intubation was performed in all the patients. The patients were followed up at weekly intervals for 1 month and thereafter every 2 months for 1 year post operatively. Criteria determining success were based on resolution of epiphora and patency on syringing. In traumatic dacryocystitis, 21(91.3%) cases fulfilled these criteria while 23(85.2%) cases of failed DCR were successful. The overall success rate (88%) was determined with an average follow-up of 1 year. Globally, the technique was effective in 85% of cases. The results were comparable with other similar studies. This study concludes that performing a DCR in traumatic dacryocystitis and failed DCR taking into consideration the complications and chances of failure is a challenge for the surgeon. We opine that External dacryocystorhinostomy with Silicon Intubation is one of the most effective modality in dealing with such cases.

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“…Inferior turbinate surgery is widely performed to treat this disease. Complications of inferior turbinate surgery are rare (1), but bleeding and crusting are the most frequently described complications. Bone necrosis, synechiae, anosmia, atrophic rhinitis, and empty nose syndrome are other rare complications.…”

Section: Introductionmentioning

confidence: 99%

Lacrimal Drainage System Obstruction Following Inferior Turbinate Surgery

et al. 2020

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To provide information on the clinical characteristics and management of an uncommon acquired nasolacrimal drainage system obstruction (NLDSO). Methods: A patient was treated with microdebrider-assisted endoscopic marsupialization for a cystic lesion located in the synechiae between the inferior turbinate and the lateral wall of the inferior meatus. Results: A 21-year-old woman suffered from epiphora and purulent discharge 1 week after inferior turbinate surgery. Endoscopy reveled synechiae between the inferior turbinate and the lateral wall of the inferior meatus. Computed tomography-dacrocystography (CT-DCG) showed enlargement of the nasolacrimal duct and cystic accumulation of contrast medium from the lacrimal orifice posteriorly. The patient was treated with nasal endoscopic marsupialization of the cyst and then powered inferior turbinoplasty. Six months after the operation, both endoscopy and CT scan showed a widely patent left inferior meatus and nasolacrimal orifice. Conclusions: We report the first case of post-operative NLDSO following inferior turbinate surgery. Nasal endoscopy and CT-DCG are useful to diagnose the location of a NLDSO. Otorhinolaryngologists should be aware that surgery may lead to the formation of a NLDSO and that endoscopic marsupialization is a curative treatment for these distal-end NLDSO. NLDSOs are caused by synechiae, which are a complication of inferior turbinate surgery.

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Nasolacrimal System Injuries

Cited by 4 publications

References 46 publications

Traumatic Nasolacrimal Duct Obstruction: Clinical Profile, Management, and Outcome

Traumatic Nasolacrimal Duct Obstruction: Clinical Profile, Management, and Outcome

Management of Traumatic Dacryocystitis and Failed Dacryocystorhinostomy Using Silicone Lacrimal Intubation Set

Lacrimal Drainage System Obstruction Following Inferior Turbinate Surgery

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