Endoscopic ultrasonic dacryocystorhinostomy for recurrent dacryocystitis following rhinoplasty.

Aesthetic surgery journal 2014 Vol.34(4) p. 520-5

Mostovych NK, Rabinowitz MR, Bilyk JR, Pribitkin EA

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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.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 rhinoplasty 코성형술 dict 3
기법 endoscopic 내시경 dict 3
해부 lateral scispacy 1
해부 frontal scispacy 1
해부 bone scispacy 1
해부 nasolacrimal duct scispacy 1
합병증 lacrimal sac scispacy 1
질환 dacryocystitis C0010930
Dacryocystitis
scispacy 1
질환 DCR → dacryocystorhinostomy scispacy 1
기타 lacrimal sac scispacy 1
기타 frontal-maxillary scispacy 1
기타 medial canthal tendon scispacy 1
기타 patient scispacy 1

MeSH Terms

Dacryocystitis; Dacryocystorhinostomy; Endosonography; Humans; Male; Recurrence; Reoperation; Rhinoplasty; Surgery, Computer-Assisted; Tomography, X-Ray Computed; Treatment Outcome; Young Adult

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