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Updated: Aug 26, 2025
Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Technique for Foreign-Body Removal with the Use of Transnasal Endoscopic Prelacrimal Approach - A Case Report
Matteo Alicandri-Ciufelli1, Federico Calvaruso1, Livio Presutti2,3
1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
The Rationale:
Foreign body (FB) in the nasal cavities is a frequent cause of otolaryngology emergency consultation that sometimes requires surgical treatment. When there is involvement of the posterolateral wall of the maxillary sinus (MS) and of the pterygopalatine fossa (PPF), conventional techniques such as antrostomy and medial endoscopic maxillectomy may not allow sufficient domination of the surgical field.
Patient Concerns:
We report the case of a woman who suffered from intranasal trauma with epistaxis and pain.
Diagnosis:
A computed tomography scan revealed a metallic FB at the level of the right posterolateral wall of the MS, PPF, and greater wing of the sphenoid bone.
Treatment And Outcome:
A minimally invasive transnasal endoscopic prelacrimal approach was chosen for its removal.
Take-Away Lessons:
The postoperative recovery was rapid and without complication.
