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Radiological evaluation of lacrimal apparatus injury after functional endoscopic sinus surgery

Published online by Cambridge University Press:  01 March 2021

G B Singh ,
N Rana ,
S Tomar ,
S Malhotra  and
S Kumar
G B Singh*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
N Rana
Affiliation:
Department of Otorhinolaryngology, Apollo Hospital, New Delhi, India
S Tomar
Affiliation:
Department of Radiodiagnosis, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Malhotra
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
S Kumar
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
*
Author for correspondence: Professor (Dr) Gautam Bir Singh, House No: 003/T-14, RPS Savana, Sector-88, Faridabad-121002 (NCR), Haryana, India E-mail: [email protected]
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Abstract

Objective

To determine the incidence of nasolacrimal duct injury after functional endoscopic sinus surgery radiologically, using computed tomography.

Methods

Fifty patients of either sex who underwent functional endoscopic sinus surgery were evaluated for nasolacrimal duct injury by computed tomography. Computed tomography was conducted pre-operatively, and post-operatively at the end of four weeks, and nasolacrimal duct injury was analysed.

Results

The prevalence of nasolacrimal duct injury dehiscence was 1.16 per cent, with a similar incidence of 1.16 per cent for nasolacrimal duct injury post-operatively. However, no cases of symptomatic nasolacrimal duct injury were recorded.

Conclusion

Computed tomography scan is an effective, non-invasive method to evaluate nasolacrimal duct injury following functional endoscopic sinus surgery, in accordance with evidence-based medicine.

Keywords

Nasolacrimal DuctComputed TomographyX-Ray
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 3 , March 2021 , pp. 229 - 233
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Professor G B Singh takes responsibility for the integrity of the content of the paper

References

Lal, D, Stankiewicz, JA. Primary sinus surgery. In: Flint, PW, Haughey, BH, Lund, V, Niparko, JK, Robbins, KT, Thomas, JR, eds. Cummings Otolaryngology Head and Neck Surgery, 6th edn. Philadelphia: Elsevier, 2015;778–9Google Scholar
Ali, MJ, Murphy, J, Wormald, PJ, Psaltis, AJ. Bony nasolacrimal duct dehiscence in functional endoscopic sinus surgery: radiological study and discussion of surgical implications. J Laryngol Otol 2015;129:S35–4010.1017/S0022215115000778CrossRefGoogle ScholarPubMed
Unlu, HH, Goktan, C, Aslan, A, Tarhan, S. Injury to the lacrimal apparatus after endoscopic sinus surgery: surgical implications from active transport dacryocystography. Otolaryngol Head Neck Surg 2001;124:308–12CrossRefGoogle ScholarPubMed
Rudert, H, Maune, S, Mahnke, CG. Complications of endonasal surgery of the paranasal sinuses. Incidence and strategies for prevention [in German]. Laryngorhinootologie 1997;76:200–15CrossRefGoogle Scholar
Cohen, NA, Antunes, MB, Morgenstern, KE. Prevention and management of lacrimal duct injury. Otolaryngol Clin North Am 2010;43:781–810.1016/j.otc.2010.04.005CrossRefGoogle ScholarPubMed
Serdahl, CL, Berris, CE, Chole, RA. Nasolacrimal duct obstruction after endoscopic sinus surgery. Arch Ophthalmol 1990;108:391–2CrossRefGoogle ScholarPubMed
Bolger, WE, Parsons, DS, Mair, EA, Kuhn, FA. Lacrimal drainage system injury in functional endoscopic sinus surgery. Incidence, analysis and prevention. Arch Otolaryngol Head Neck Surg 1992;118:1179–84CrossRefGoogle ScholarPubMed
Song, HY, Jin, YH, Kim, JH, Huh, SJ, Kim, YH, Kim, TH et al. Nonsurgical placement of a nasolacrimal polyurethane stent. Radiology 1995;194:233–7CrossRefGoogle ScholarPubMed
Pulido-Duque, JM, Reyes, R, Carreira, JM, Vega, F, Górriz, E, Pardo, MD et al. Treatment of complete and partial obstruction of the nasolacrimal system with polyurethane stents: initial experience. Cardiovasc Intervent Radiol 1998;21:41–4CrossRefGoogle ScholarPubMed
Fraser, JF, Nyquist, GG, Moore, N, Anand, VK, Schwartz, TH. Endoscopic endonasal transclival resection of chordomas: operative technique, clinical outcome and review of the literature. J Neurosurg 2010;112:1061–9CrossRefGoogle ScholarPubMed
Cobb, WS, Makosch, G, Anand, VK, Schwartz, TH. Endoscopic transsphenoidal, transclival resection of an enterogenous cyst located ventral to the brainstem: case report. Neurosurgery 2010;67(2 Suppl Operative):522–6Google ScholarPubMed
Zhang, S, Cheng, Y, Xie, J, Wang, Z, Zhang, F, Chen, L et al. Anatomical study and locating nasolacrimal duct on computed topographic image. J Craniofac Surg 2017;28:275–9CrossRefGoogle ScholarPubMed
Chastain, JB, Cooper, MH, Sindwani, R. The maxillary line: anatomic characterization and clinical utility of an important surgical landmark. Laryngoscope 2005;115:990–210.1097/01.MLG.0000163764.01776.10CrossRefGoogle ScholarPubMed
Hartikainen, J, Aho, HJ, Seppa, H, Grenman, R. Lacrimal bone thickness at the lacrimal fossa. Ophthalmic Surg Lasers 1996;27:679–8Google Scholar
Whitnall, SE. The relations of the lacrimal fossa to the ethmoidal cells. Ophthalmol Rev 1911;30:321–5Google Scholar
Shigeta, KI, Takegoshi, H, Kikuchi, S. Sex and age differences in the bony nasolacrimal canal: an anatomical study. Arch Ophthalmol 2007;125:1677–81CrossRefGoogle ScholarPubMed
Kennedy, DW, Zinreich, SJ, Shaalan, H, Kuhn, F, Naclerio, R, Loch, E. Endoscopic middle meatal antrostomy: theory, technique, patency. Laryngoscope 1987;97:1–9CrossRefGoogle ScholarPubMed
Hunink, MG, de Vries-Knoppert, WA, Balm, AJ, Luth, WJ. Dacryocystography after paranasal sinus surgery. Br J Radiol 1988;61:362–5CrossRefGoogle ScholarPubMed
Saengpanich, S, Kerekhanjanarong, V, Chochaipanichnon, L, Supiyaphun, P. Nasolacrimal duct injury from microscopic sinus surgery: preliminary report. J Med Assoc Thai 2001;84:562–5Google ScholarPubMed
Takahashi, Y, Kakizaki, H, Nakano, T. Bony nasolacrimal duct entrance diameter: gender difference in cadaveric study. Ophthalmic Plast Reconstr Surg 2011;27:204–5CrossRefGoogle ScholarPubMed
Fasina, O, Ogbole, GI. CT assessment of the nasolacrimal canal in a black African population. Ophthalmic Plast Reconstr Surg 2013;29:231–3CrossRefGoogle Scholar
McCormick, A, Sloan, B. The diameter of the nasolacrimal canal measured by computed tomography: gender and racial differences. Clin Exp Ophthalmol 2009;37:357–61CrossRefGoogle ScholarPubMed
Aggarwal, A, Sharma, S, Das, PK, Singh, MR. Validation of MDCT in post traumatic nasolacrimal obstruction–a case report. Ann Int Med Den Res 2017;3:RD01–3CrossRefGoogle Scholar
Zinreich, SJ, Miller, NR, Freeman, LN, Glorioso, LW, Rosenbaum, AE. Computed tomographic dacryocystography using topical contrast media for lacrimal system visualization: preliminary investigations. Orbit 1990;9:79–87CrossRefGoogle Scholar
Weber, AL, Rodriguez-DeVelasquez, A, Lucarelli, MJ, Cheng, HM. Normal anatomy and lesions of the lacrimal sac and duct: evaluated by dacryocystography, computed tomography, and MR imaging. Neuroimaging Clin N Am 1996;6:199–217Google ScholarPubMed
Caldemeyer, K, Stockberger, S Jr, Broderick, L. Topical contrast-enhanced CT and MR dacryocystography: imaging the lacrimal drainage apparatus of healthy volunteers. AJR Am J Roentgenol 1998;171:1501–4CrossRefGoogle Scholar
Rubin, PA, Bilyk, JR, Shore, JW, Sutula, FC, Cheng, HM. Magnetic resonance imaging of the lacrimal drainage system. Ophthalmology 1994;101:235–43CrossRefGoogle ScholarPubMed
Goldberg, RA, Heinz, GW, Chiu, L. Gladolinium magnetic resonance imaging dacrocystography. Am J Ophthalmol 1993;115:738–41CrossRefGoogle Scholar
Dutton, JJ, White, JJ. Imaging and clinical evaluation of the lacrimal drainage system. In: Cohen, JA, Mercandetti, M, Brazzo, BG, eds. The Lacrimal System – Diagnostic Management and Surgery, 2nd edn. Cham: Springer, 2015;75–93Google Scholar
Zammit-Maempel, I, Chadwick, CL, Willis, SP. Radiation dose to the lens of eye and thyroid gland in paranasal sinus multislice CT. Br J Radiol 2003;76:418–2010.1259/bjr/82798696CrossRefGoogle ScholarPubMed
Rehani, MM, Vano, E, Ciraj-Bjelac, O, Kleimen, NJ. Radiation and cataract. Radiat Prot Dosimetry 2011;147:300–4CrossRefGoogle ScholarPubMed