Odontogenic abscess mimicking acute dacryocystitis
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Updated: Mar 3, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Ahmad M Mansour1,2, Wajiha Kheir-Jurdi1, Usamah El Hadi3
1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
Abstract:
A middle-aged poorly controlled diabetic man developed left-sided orbital and facial swelling several days after extraction of a left upper wisdom tooth. The clinical impression was that of acute dacryocystitis. Opening the skin above the lacrimal sac failed to reveal an inflamed sac establishing the diagnosis of deep facial cellulitis. Complete resolution occurred few weeks after systemic antibiotics and repeated dental drainage of the tooth abscess.
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