Nasolacrimal Obstruction After Maxillary Sinus and Rhinoplastic Surgery
- 1 May 1979
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA Otolaryngology–Head & Neck Surgery
- Vol. 105 (5), 264-266
- https://doi.org/10.1001/archotol.1979.00790170034009
Abstract
Transient nasolacrimal obstruction is a common complication of maxillary sinus, as well as rhinoplastic surgery. Permanent epiphora, however, is unusual. This communication describes 11 patients with surgical injury to the lacrimal drainage system, which necessitated dacryocystorhinostomy for correction. Seven of these cases occurred subsequent to nasoantral window procedures, three occurred after rhinoplasty, and one resulted from a partial maxillectomy. It has been shown that the two areas most vulnerable to inadvertent surgical injury are the nasolacrimal sac, located just beneath the medial canthal ligament, and the ductal ostium in the inferior meatus. We discuss the relevant anatomy of the nasolacrimal apparatus, in addition to surgical methods for avoiding injury to the system. We also describe the currently applied techniques for diagnosing and managing lacrimal obstruction and review the literature.Keywords
This publication has 3 references indexed in Scilit:
- INJURY TO THE LACRIMAL APPARATUS DURING RHINOPLASTYPlastic and Reconstructive Surgery, 1968
- Epiphora After Maxillary ResectionActa Oto-Laryngologica, 1967
- LXII. Anatomic Phases Involved in the Surgery of the Naso-Antral Wall and Floor of the MouthAnnals of Otology, Rhinology & Laryngology, 1932