Nasolacrimal Obstruction After Maxillary Sinus and Rhinoplastic Surgery

Osguthorpe, J. David; Calcaterra, Thomas C.

doi:10.1001/archotol.1979.00790170034009

Cited by 52 publications

(33 citation statements)

References 5 publications

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Section: Discussionmentioning

confidence: 99%

“…However, during rhinoplasty, it is possible that lacrimal ducts are damaged due to the strict relationship of these structures with the nose, resulting in alterations of the normal lacrimal flow [1]. Obstructions can be transient, more frequent, or permanent [1]. Transient obstructions derive from the mucosal edema created with the surgical trauma, whereas permanent obstructions derive from damage to the lacrimal sac or nasolacrimal openings caused by surgical dislocations of nasal bones [1].…”

Section: Discussionmentioning

confidence: 99%

“…Obstructions can be transient, more frequent, or permanent [1]. Transient obstructions derive from the mucosal edema created with the surgical trauma, whereas permanent obstructions derive from damage to the lacrimal sac or nasolacrimal openings caused by surgical dislocations of nasal bones [1].…”

Section: Discussionmentioning

confidence: 99%

“…Conclusions: The safe and well-tolerated radiologic techniques performed in this study provided detailed imaging of the lacrimal outflow system. A high incidence of partial obstruction to the internal ostium was found in patients with septal deviations, turbinate hypertrophy, and no lacrimal symptoms, suggesting a frequent presymptomatic condition.The anatomic proximity of the lacrimal system to the nose renders possible its involvement during rhinoseptoplasty and can result in postoperative transient or permanent obstructions to the lacrimal flow [1]. In contrast, correction of septal deviations and reduction of turbinate hypertrophy usually reduce the lacrimal engorgement at the level of the internal inferior nasal meatus, ordinarily resulting in an amelioration of the epiphora.…”

mentioning

confidence: 99%

“…The anatomic proximity of the lacrimal system to the nose renders possible its involvement during rhinoseptoplasty and can result in postoperative transient or permanent obstructions to the lacrimal flow [1]. In contrast, correction of septal deviations and reduction of turbinate hypertrophy usually reduce the lacrimal engorgement at the level of the internal inferior nasal meatus, ordinarily resulting in an amelioration of the epiphora.…”

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confidence: 99%

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Asymptomatic Lacrimal Flow Abnormalities in Patients with Septal Deviations and Turbinate Hypertrophy

et al. 2007

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Background: This study aimed to investigate the lacrimal flow in patients affected by septal deviations and turbinate hypertrophy and to evaluate changes after rhinoseptoplasty with dacryocystography (DCT) and computed tomographic dacryocystography (CT-DCT). Methods: The study prospectively recruited patients having septal deviations with or without turbinate hypertrophy who underwent surgical evaluation for correction of their respiratory symptoms and were not referred for epiphora. Patients were excluded if they had undergone surgery for cranial vault defects or had experienced septal deviations after traumatic accidents. All patients were studied with DCT and CT-DCT preoperatively and postoperatively. Results: A total of 24 patients (10 men and 14 women) were recruited for the study. Of these patients, 11 (45.8%) had a reduced flow of the medium contrast due to a partial obstruction at the level of the internal ostium. All 11 patients had septal deviations and turbinate hypertrophy, whereas 8 patients had a unilateral obstruction (72.7%), and 3 patients had a bilateral obstruction (27.3%). All flows were corrected after surgery. Conclusions: The safe and well-tolerated radiologic techniques performed in this study provided detailed imaging of the lacrimal outflow system. A high incidence of partial obstruction to the internal ostium was found in patients with septal deviations, turbinate hypertrophy, and no lacrimal symptoms, suggesting a frequent presymptomatic condition.The anatomic proximity of the lacrimal system to the nose renders possible its involvement during rhinoseptoplasty and can result in postoperative transient or permanent obstructions to the lacrimal flow [1]. In contrast, correction of septal deviations and reduction of turbinate hypertrophy usually reduce the lacrimal engorgement at the level of the internal inferior nasal meatus, ordinarily resulting in an amelioration of the epiphora.Dacryocystography (DCT) and computed tomographic DCT (CT-DCT) are important radiologic tools for evaluating the lacrimal duct anatomy and pathology [2][3][4]. These techniques have been used to study the effect of lateral osteotomies, external and endoscopic paranasal sinus surgery, and dacryocystorhinostomy on the lacrimal apparatus [5][6][7][8][9]. In the current study, we used these techniques to evaluate the incidence of outflow alterations among patients who had septal deviations with or without turbinate hypertrophy but asymptomatic for epiphora and postoperative changes occurring after corrective rhinoseptoplasty. Materials and MethodsWe prospectively recruited patients having septal deviations with or without turbinate hypertrophy who underwent

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Asymptomatic Lacrimal Flow Abnormalities in Patients with Septal Deviations and Turbinate Hypertrophy

et al. 2007

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Nasolacrimal Duct Obstruction After Endoscopic Sinus Surgery

Serdahl

Berris

Chole³

1990

Arch Ophthalmol

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Unusual and Fatal Complications of Rhinoplasty

Lawson¹,

Kessler²,

Biller³

1983

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Serious complications of cosmetic rhinoplasty are extremely rare. However, awareness of their existence is essential so that the surgeon can minimize the potential hazards of the procedure. This demands a careful preoperative examination, a meticulous intraoperative technique, and a careful postoperative monitoring of the patient. The complications of rhinoplasty have been classified into infectious, traumatic, hemorrhagic, systemic, and miscellaneous groups. The pertinent literature is reviewed, as well as cases of inclusion cyst formation, disturbance of eye closure, local activation of systemic disease, and fatalities from intracranial injury with brain laceration and pneumocephalus. (Arch Otolaryngol 1983;109:164-169) The complications most frequently reported with rhinoplastic sur¬ gery are those related to postopera¬ tive failure in achieving the desired aesthetic or physiologic objectives.While instances of disabling and lifethreatening complications of rhino¬ plasty are mentioned, few such cases find their way into the literature, and so their absolute incidence is conjec¬ tural. The purpose of this report is to enumerate and classify the more seri¬ ous complications of this relatively common procedure. In addition to a comprehensive survey of the litera¬ ture, we have illustrated several inter¬ esting and unusual complications, including two fatalities.

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Nasolacrimal Obstruction After Maxillary Sinus and Rhinoplastic Surgery

Cited by 52 publications

References 5 publications

Asymptomatic Lacrimal Flow Abnormalities in Patients with Septal Deviations and Turbinate Hypertrophy

Asymptomatic Lacrimal Flow Abnormalities in Patients with Septal Deviations and Turbinate Hypertrophy

Nasolacrimal Duct Obstruction After Endoscopic Sinus Surgery

Unusual and Fatal Complications of Rhinoplasty

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