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Updated: Aug 8, 2026
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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Maxillary frontal process fracture complicating acute dacryocystorhinostomy
Jonathan D Clarke1, Peter Tassone, Heikki B Whittet
1Otolaryngology Department, Singleton Hospital, Swansea, Wales, UK. jonathan.clarke@virgin.net
Ophthalmic Plastic and Reconstructive Surgery
|May 23, 2006
Summary
A rare complication of maxillary frontal process fracture occurred during endonasal dacryocystorhinostomy. This case details the successful management and corrective procedure for this uncommon surgical issue.
Area of Science:
- Otolaryngology
- Ophthalmology
- Maxillofacial Surgery
Background:
- Endonasal dacryocystorhinostomy (DCR) is a surgical procedure to restore lacrimal drainage.
- Complications, though infrequent, can arise during DCR surgery.
- Fracture of the maxillary frontal process is a previously unrecorded complication in endonasal DCR.
Observation:
- A patient undergoing acute endonasal dacryocystorhinostomy developed a fracture of the maxillary frontal process.
- This complication was not previously documented in existing literature.
- The fracture impacted the surgical site and required specific management.
Findings:
- The case presents a novel complication in endonasal dacryocystorhinostomy: a maxillary frontal process fracture.
- A successful management strategy and corrective procedure were developed for this specific complication.
- The corrective intervention led to satisfactory outcomes for both the patient and the surgical team.
Implications:
- Highlights the importance of recognizing and managing rare surgical complications in DCR.
- Provides a potential management pathway for similar future occurrences.
- Emphasizes the need for vigilance and adaptability in surgical techniques for sinonasal and orbital procedures.
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