Nasal polyps herniating through lacrimal-nasal bony ostium mimicking dacryocystocele: a rare cause of DCR failure

PURPOSE To describe a rare cause of dacryocystorhinostomy (DCR) failure resulting from polyps herniating through the lacrimal-nasal ostium in a patient with severe, recurrent nasal polyposis. DESIGN/METHODS Observational case report. Clinical practice setting. RESULTS Five years after DCR surgery, a...

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Bibliographic Details
Published in:Orbit (Amsterdam) 2004-09, Vol.23 (3), p.189-191
Main Authors: MD, F.M. Goes, PhD, P.P. Knegt MD, PhD, A.D.A. Paridaens MD
Format: Article
Language:English
Subjects:
Aged
Dacryocystocele
Dacryocystorhinostomy
Hernia - complications
Hernia - diagnosis
Humans
Lacrimal Apparatus - diagnostic imaging
Lacrimal Apparatus - pathology
Lacrimal Duct Obstruction - diagnostic imaging
Lacrimal Duct Obstruction - etiology
Male
Nasal Bone - diagnostic imaging
Nasal Bone - pathology
Nasal Polyps
Nasal Polyps - complications
Nasal Polyps - diagnosis
Tomography, X-Ray Computed
Treatment Failure
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Summary:PURPOSE To describe a rare cause of dacryocystorhinostomy (DCR) failure resulting from polyps herniating through the lacrimal-nasal ostium in a patient with severe, recurrent nasal polyposis. DESIGN/METHODS Observational case report. Clinical practice setting. RESULTS Five years after DCR surgery, a 65-year-old male patient presented with epiphora and a soft cystic enlargement in the lacrimal sac area mimicking a dacryocystocele. The Jones 1 test was negative but the Jones 2 test positive. Computer tomography (CT) showed bilateral obstruction of the nasal space by soft tissue, herniating through the lacrimal-nasal ostium, suggestive of recurrent nasal polyposis. Transnasal polypectomy was performed, which re-established tear-drainage to the nose. CONCLUSIONS Recurrent nasal polyposis may lead to DCR failure and may give rise to a soft tissue swelling at the site of previous DCR surgery.
ISSN:0167-6830
1744-5108
DOI:10.1080/01676830490504188