Primary acquired nasolacrimal duct obstruction: is it really related to paranasal abnormalities?

Yazıcı, Haşmet; Bülbül, Erdoğan; Yazıcı, Alper; Kaymakçı, Mustafa; Tıskaoğlu, Nesime Setge; Yanık, Bahar; Ermiş, Sıtkı Samet

doi:10.1007/s00276-014-1391-6

Cited by 21 publications

(11 citation statements)

References 17 publications

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“…Reduced lacrimal flow was found in 45.8% ( n = 24) cases which resolved after surgical correction of nasal septum. Radiological anatomy of nose and NLD assessment by Yazici et al 11 showed increased incidence of deviated nasal septum toward the side of PANDO ( P = 0.008). However, no differences were noted for other paranasal abnormalities between PANDO and the control groups.…”

Section: Discussionmentioning

confidence: 97%

“…Apart from nasal septum, no other intranasal features were documented in these studies. Computed tomography based data exists on associated sino-nasal anomalies in PANDO 6, 7, 8, 9, 10, 11, 12. Similar significant endoscopic intranasal anomalies and pathologies have been described to be associated with congenital nasolacrimal duct obstruction 13 .…”

Section: Introductionmentioning

confidence: 88%

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Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Singh

Alam

Ali

et al. 2017

Saudi Journal of Ophthalmology

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 88%

Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Singh

Alam

Ali

et al. 2017

Saudi Journal of Ophthalmology

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“…However, in addition the authors found that only the side of the septal deviation was correlated with the side of the acquired NLDO (p = 0.008). 9 Dikici et al examined the relationship between NSD and paranasal abnormalities in the etiology of primary acquired NLDO. The authors established a statistically signi cant relationship between acquired NLDO and the axial location of NSD classi cation, axial angle of septal deviation classi cation, paradoxical middle turbinate, angle between the bony inferior turbinate and medial wall of the maxillary sinus and inferior meatus measure.…”

Section: Discussionmentioning

confidence: 99%

“…7 There are other studies that examined nasal pathologies and nasolacrimal duct obstruction in adult patients. [8][9][10][11] In the literature, there is only one study in which nasal endoscopic examinations were assessed in patients requiring surgical intervention due to CNLDO. The said study examined 100 pediatric patients undergoing surgery for epiphora (probing and syringing of the nasolacrimal ducts) and in each case detected nasal septal deviation.…”

Section: Introductionmentioning

confidence: 99%

Incidences Of Nasal Septal Deviation And Its Effect On Surgical Success In Patients With Congenital Nasolacrimal Dacryostenosis

fe¹,

sÜ²,

Karademir³

2021

Preprint

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OBJECTIVE: An investigation of incidences of nasal septal deviation (NSD) and its effect on surgical success in patients with congenital nasolacrimal dacryostenosis (CNLDO).METHODS: A retrospective review was made of the medical records of patients who presented to the ophthalmology clinic due to epiphora, were diagnosed with CNLDO and underwent probing. The diagnosis was established by history, clinical examination, and fluorescein disappearance test (FDT)1. Patients with FDT grade 2 and 3 underwent surgery. Success was defined as postoperative FDT grade 0–1. The patients were assessed in terms of gestational week, birth weight, type of delivery, nasal endoscopic examination findings (presence of NSD), time of surgery, treatments received, recurrence and complications.RESULTS: The study comprised 72 eyes of 58 patients who were diagnosed with CNLDO and underwent surgical treatment. Of the patients, 44 (75.86%) had unilateral, and 14 (24.14%) had bilateral CNLDO; 41 (56.94%) were female and 31 (43.06%) were male. The mean gestational age at birth was 38.01 weeks (32–41 weeks), the mean birth weight was 3321.25 (2020–4500 g), the number of cases delivered by cesarean section was 40 (55.56%), and 32 (44.44%) were vaginal deliveries. There were 13 (18.06%) patients with detected NSD after endonasal examination and 59 (81.94%) patients with normal endonasal examination in the Otorhinolaryngology (ORL) department. The time of surgery was 10 –34 months (mean: 19.06 months, SD: 5.73), the length of follow-up was 6–16 months (mean: 9.90 months, SD: 2.58). The rate of probing success was 80.6% (58 eyes), and there was recurrence in 19.4% (14 eyes).The success rate of the probing did not statistically significantly differ by gender (p=0.323), the mean birth week (p=0.123), the mean birth weight (p=0.186), the involved eye (p=0.891), the type of delivery (p=0.891), the mean length of follow-up (months) (p=0.701), the mean month of surgery (p=0.607), and the side of NSD (p=0.853). The incidence of NSD was statistically significantly higher in the group in which the probing failed, than in the group in which the probing was successful (p=0.004).CONCLUSION: NSD was identified in 18% of the patients who were diagnosed with CNLDO and underwent surgery. The incidence of NSD was significantly higher in the group where the probing procedure failed. Pre-treatment nasal endoscopy is important for the treatment planning and prognosis of CNLDO patients.

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“… 1 Nasolacrimal duct obstruction may have different etiologies and can be either primary or secondary, with primary acquired nasolacrimal duct obstruction (PANDO) being the most common. 2 , 3 , 4 , 5 The secondary causes, which can ultimately affect all sections of the draining lacrimal duct, include infectious, inflammatory, neoplastic, traumatic and mechanical blockage and are summarized under the term “secondary acquired nasolacrimal drainage obstruction” (SANDO). 6 , 7 At Humanitas Research Hospital, Eye center, the diagnosis lies essentially in the ophthalmological examination, including the lacrimal duct probing with the Bowman probe and, if necessary, lacrimal duct flushing.…”

Section: Introductionmentioning

confidence: 99%

Epiphora and unrecognized paranasal sinuses pathology

Balia

Piscopo

et al. 2020

American Journal of Ophthalmology Case Reports

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Purpose to report five patients all presenting with persistent unilateral epiphora as a sign of unexpected and rare lesions causing Secondary Acquired Nasolacrimal Duct Obstruction (SANDO) and the risks associated to an incomplete diagnostic work-up. Observations the cases presented are: (1) Fungus ball, (2) Pyogenic granuloma, (3) Sinonasal inverted papilloma (4) Sinonasal inverted papilloma with synchronous squamous cell carcinoma, (5) Squamous cell carcinoma of the lacrimal sac. Conclusions and importance masses are uncommon but not a rare cause of nasolacrimal duct obstruction. Surgical teams performing large numbers of dacryocystorhinostomies should be aware of such pathology and perform a systematic multidisciplinary approach.

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Primary acquired nasolacrimal duct obstruction: is it really related to paranasal abnormalities?

Abstract: The incidence of PANDO may not be directly related to paranasal abnormalities. Further large-scale studies should be performed to clarify the relationship between paranasal abnormalities and PANDO.

Cited by 21 publications

References 17 publications

Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Incidences Of Nasal Septal Deviation And Its Effect On Surgical Success In Patients With Congenital Nasolacrimal Dacryostenosis

Epiphora and unrecognized paranasal sinuses pathology

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