Epiphora and unrecognized paranasal sinuses pathology

PURPOSE: to report five patients all presenting with persistent unilateral epiphora as a sign of unexpected and rare lesions causing Secondary Acquired Nasolacrimal Duct Obstruction (SANDO) and the risks associated to an incomplete diagnostic work-up. OBSERVATIONS: the cases presented are: (1) Fungu...

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Detalles Bibliográficos
Autores principales: Confalonieri, Filippo, Balia, Laura, Piscopo, Raffaele, Malvezzi, Luca, Di Maria, Alessandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7350086/
https://www.ncbi.nlm.nih.gov/pubmed/32671284
http://dx.doi.org/10.1016/j.ajoc.2020.100798
Descripción
Sumario:PURPOSE: to report five patients all presenting with persistent unilateral epiphora as a sign of unexpected and rare lesions causing Secondary Acquired Nasolacrimal Duct Obstruction (SANDO) and the risks associated to an incomplete diagnostic work-up. OBSERVATIONS: the cases presented are: (1) Fungus ball, (2) Pyogenic granuloma, (3) Sinonasal inverted papilloma (4) Sinonasal inverted papilloma with synchronous squamous cell carcinoma, (5) Squamous cell carcinoma of the lacrimal sac. CONCLUSIONS AND IMPORTANCE: masses are uncommon but not a rare cause of nasolacrimal duct obstruction. Surgical teams performing large numbers of dacryocystorhinostomies should be aware of such pathology and perform a systematic multidisciplinary approach.

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