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Case Reports
. 2014 Jan;78(1):139-41.
doi: 10.1016/j.ijporl.2013.10.046. Epub 2013 Nov 7.

Dacryocystectomy: an uncommon indication--a case report

Christie M Varghese  1 , Ajoy M Varghese  1 , Kamran A Syed  2 , Roshna R Paul  1
Affiliations
Case Reports

Dacryocystectomy: an uncommon indication--a case report

Christie M Varghese et al. Int J Pediatr Otorhinolaryngol. 2014 Jan.

Abstract

Post traumatic nasolacrimal drainage obstruction is an uncommon presentation of naso-orbito-ethmoid fracture. Dacryocystorhinostomy (DCR) with or without silicon intubation is the universally accepted treatment modality. Here we report a case of recurrent lacrimal sac abscess due to post traumatic nasolacrimal drainage obstruction following naso-orbito-ethmoid fracture. The patient had previously undergone incision and drainage thrice and twice failed DCR. In the background of extensive nasal synechiae and twice failed DCR, dacryocystectomy was performed. Post operatively patient has improved and is symptom free for past 14 months. This is the first report of a successful dacryocystectomy for a post traumatic dacryocystitis.

Keywords: Dacryocystectomy; Naso-orbito-ethmoid fracture; Post-traumatic nasolacrimal drainage obstruction.

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