Incidence of neoplasia in patients with unilateral epiphora

Nasolacrimal duct obstruction is common and is usually a result of benign stricture formation.Although neoplasia near or around the lacrimal system may produce epiphora, the incidence of neoplasia from within the lacrimal system as a cause of nasolacrimal duct obstruction is not well documented. A r...

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Bibliographic Details
Published in:Journal of laryngology and otology 2015-07, Vol.129 (S3), p.S53-S57
Main Authors: Bewes, T, Sacks, R, Sacks, P L, Chin, D, Mrad, N, Wilcsek, G, Tumuluri, K, Harvey, R
Format: Article
Language:English
Subjects:
Adult
Age
Aged
Aged, 80 and over
Dacryocystorhinostomy - adverse effects
Dacryocystorhinostomy - methods
Dacryocystorhinostomy - statistics & numerical data
Endoscopy
Endoscopy - methods
Female
Females
Gender
Humans
Incidence
Lacrimal Apparatus - pathology
Lacrimal Apparatus - surgery
Lacrimal Apparatus Diseases - epidemiology
Lacrimal Apparatus Diseases - etiology
Lacrimal Apparatus Diseases - pathology
Lacrimal Apparatus Diseases - surgery
Lacrimal Duct Obstruction - etiology
Main Articles
Male
Males
Middle Aged
Nasolacrimal Duct - pathology
Neoplasms - complications
Neoplasms - epidemiology
Papilloma, Inverted - epidemiology
Papilloma, Inverted - pathology
Rare Diseases - epidemiology
Retrospective Studies
Surgery
Treatment Outcome
Tumors
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Description
Summary:Nasolacrimal duct obstruction is common and is usually a result of benign stricture formation.Although neoplasia near or around the lacrimal system may produce epiphora, the incidence of neoplasia from within the lacrimal system as a cause of nasolacrimal duct obstruction is not well documented. A retrospective study was performed on all patients undergoing dacryocystorhinostomy with a history of epiphora. The incidence of patients with operative findings of intra-lacrimal neoplasm was sought. Histopathologically confirmed cases were included. The study comprised 537 patients, who underwent a total of 631 endoscopic dacryocystorhinostomy procedures between January 1998 and July 2013. Non-stenotic causes of nasolacrimal duct obstruction were encountered in 3.01 per cent of dacryocystorhinostomy procedures, and included neoplastic, inflammatory and infectious pathologies. Inverted papilloma was the most common cause, encountered in 0.79 per cent of dacryocystorhinostomy operations. These findings suggest that neoplasia is an uncommon but not a rare cause of nasolacrimal duct obstruction. Surgical teams performing high numbers of dacryocystorhinostomy procedures should be aware of such pathology and patients counselled appropriately.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215115001504