Endoscopic ultrasonic dacryocystorhinostomy for recurrent dacryocystitis following rhinoplasty.

Abstract

UNLABELLED:

The lacrimal sac is the structure most vulnerable to injury when performing rhinoplastic osteotomies. When performed in a low lateral position or along the frontal process of the frontal-maxillary suture, osteotomies can potentially tear the medial canthal tendon and injure the underlying lacrimal sac, possibly resulting in dacryocystitis. In this case report, the authors discuss a case of dacryocystitis following primary rhinoplasty; this injury was repaired with endoscopic dacryocystorhinostomy (DCR) using a Sonopet ultrasonic bone aspirator (Stryker, Kalamazoo, Michigan) at a single institution. This method achieved nasolacrimal duct patency, and the patient continued to be symptom-free at an 18-month follow-up. This is the first reported case of recurrent dacryocystitis following rhinoplasty as treated by endoscopic DCR.

LEVEL OF EVIDENCE:

5.

• Authors: Nadia K Mostovych, Mindy R Rabinowitz, Jurij R Bilyk, Edmund A Pribitkin
• Journal: Aesthetic surgery journal (Aesthet Surg J) Vol. 34 Issue 4 Pg. 520-5 (May 01 2014) ISSN: 1527-330X [Electronic] England
• PMID: 24658062 (Publication Type: Case Reports, Journal Article, Video-Audio Media)

Topics

• Dacryocystitis (diagnosis, etiology, surgery)
• Dacryocystorhinostomy (methods)
• Endosonography
• Humans
• Male
• Recurrence
• Reoperation
• Rhinoplasty (adverse effects)
• Surgery, Computer-Assisted
• Tomography, X-Ray Computed
• Treatment Outcome
• Young Adult