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Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/74614

Type: Journal article
Title: Traumatic sinolacrimocutaneous fistula managed with endonasal dacryocystorhinostomy and anterior ethmoidectomy
Author: Shams, P.
Selva-Nayagam, D.
Citation: Archives of Ophthalmology, 2012; 130(10):1311-1313
Publisher: Amer Medical Assoc
Issue Date: 2012
ISSN: 0003-9950
Statement of
Responsibility: 
Pari N. Shams and Dinesh Selva
Abstract: A 31-year-old man with epiphora and mucous discharge from a traumatic lacrimal fistula underwent a computed tomographic dacryocystogram, revealing a fistula extending from the anterior ethmoid air cells through the lacrimal sac to the overlying skin with coexisting nasolacrimal duct obstruction. Endoscopic dacryocystorhinostomy enabled complete marsupialization of the lacrimal sac and agger nasi air cell, removing the tract between these structures. Simultaneous probing of the common canaliculus and fistula tract under direct visualization allowed the identification of the internal fistula origin in relation to the internal ostium on the lateral sac wall. The fistula was excised with a trephine over a guide wire via an external approach. Use of the endoscopic technique for excision of acquired lacrimal fistulas may be especially helpful in cases with coexisting nasolacrimal duct obstruction where the fistula extends to the sinus cavity or suspected foreign bodies.
Rights: © 2012 American Medical Association. All rights reserved.
RMID: 0020122880
DOI: 10.1001/archophthalmol.2012.2452
Appears in Collections:Opthalmology & Visual Sciences publications
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