Bony nasolacrimal duct dehiscence in functional endoscopic sinus surgery: radiological study and discussion of surgical implications

Simple item page
dc.contributor.authorAli, M.
dc.contributor.authorMurphy, J.
dc.contributor.authorWormald, P.
dc.contributor.authorPsaltis, A.
dc.date.issued2015
dc.descriptionPublished online: 08 April 2015
dc.description.abstractOBJECTIVES: To analyse the radiological features of the bony nasolacrimal duct before and after functional endoscopic sinus surgery, and document the incidence of surgically induced dehiscence. METHODS: A retrospective case series analysis was conducted of 63 consecutive patients who underwent uncinectomy as a part of 118 functional endoscopic sinus surgical procedures. All patients underwent pre- and post-operative computed tomography scans. Axial computed tomography images at the level of maxillary sinus were evaluated for the presence of bony nasolacrimal duct dehiscence, osteitis and completeness of uncinectomy. RESULTS: The rate of nasolacrimal duct dehiscence prior to surgery was 6.8 per cent (8 out of 118 cases). Nasolacrimal duct dehiscence as a consequence of surgery was observed in 3.3 per cent of cases (4 out of 118), with a further 4.2 per cent (5 out of 118) showing post-operative reactive bony change of the nasolacrimal duct in the absence of dehiscence. CONCLUSION: The incidence of nasolacrimal duct injury observed was much lower than that previously reported in the literature.
dc.description.statementofresponsibilityM J Alia, J Murphy, P J Wormald, and A J Psaltis
dc.identifier.citationJournal of Laryngology and Otology, 2015; 129(Suppl. 3):S35-S40
dc.identifier.doi10.1017/s0022215115000778
dc.identifier.issn0022-2151
dc.identifier.issn1748-5460
dc.identifier.orcidWormald, P. [0000-0001-7753-7277]
dc.identifier.orcidPsaltis, A. [0000-0003-2197-0797] [0000-0003-2967-1855]
dc.identifier.urihttp://hdl.handle.net/2440/93758
dc.language.isoen
dc.publisherCambridge University Press
dc.rights© JLO (1984) Limited 2015
dc.source.urihttps://doi.org/10.1017/s0022215115000778
dc.subjectNasolacrimal Duct
dc.subjectSinus Surgery
dc.subjectFESS
dc.subjectComplications
dc.subjectDehiscence
dc.subjectSurgical Wound
dc.subjectCT Scan
dc.subjectX-Ray
dc.subjectLund-Mackay Scores
dc.titleBony nasolacrimal duct dehiscence in functional endoscopic sinus surgery: radiological study and discussion of surgical implications
dc.typeJournal article
pubs.publication-statusPublished

Files

Collections

Medicine publications