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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
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Dacryocystectomy: an uncommon indication--a case report
Christie M Varghese1, Ajoy M Varghese1, Kamran A Syed1
1Department of ENT, Christian Medical College, Vellore, India.
International Journal of Pediatric Otorhinolaryngology
|November 26, 2013
Summary
This case study highlights a successful dacryocystectomy for recurrent lacrimal sac abscess caused by naso-orbito-ethmoid fracture. It offers a novel treatment for complex post-traumatic nasolacrimal drainage obstruction.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Trauma Surgery
Background:
- Post-traumatic nasolacrimal drainage obstruction is a rare complication of naso-orbito-ethmoid fractures.
- Dacryocystorhinostomy (DCR) is the standard surgical treatment for such obstructions.
Observation:
- A patient presented with recurrent lacrimal sac abscess after a naso-orbito-ethmoid fracture.
- The patient had a history of multiple incision and drainage procedures and two failed DCR surgeries.
- Extensive nasal synechiae complicated previous surgical attempts.
Findings:
- Dacryocystectomy was performed due to the complexity and previous treatment failures.
- The patient experienced significant improvement and remained symptom-free for 14 months post-surgery.
- This represents the first reported case of successful dacryocystectomy for post-traumatic dacryocystitis.
Implications:
- Dacryocystectomy may be a viable alternative treatment for complex, recurrent post-traumatic nasolacrimal drainage obstruction.
- This case expands the surgical options for managing challenging lacrimal drainage issues following facial trauma.
