内視鏡下鼻内涙囊鼻腔吻合術を施行した多発顔面骨骨折による鼻涙管閉塞例

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  • A Case of Nasolacrimal Duct Obstruction Secondary to Facial Fractures Treated with Dacryocystorhinostomy
  • 臨床 内視鏡下鼻内涙囊鼻腔吻合術を施行した多発顔面骨骨折による鼻涙管閉塞例
  • リンショウ ナイシキョウ カ ビ ナイ ルイノウ ビコウ フンゴウジュツ オ シコウ シタ タハツ ガンメンコツ コッセツ ニ ヨル ハナ ルイカン ヘイソクレイ

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Multiple fractures of the facial bones occasionally cause nasolacrimal duct obstruction, resulting in epiphora and dacryocystitis. Herein, we report the case of a 25-year-old man who developed nasolacrimal duct obstruction secondary to facial fractures sustained in a motorcycle traffic accident. He was operated upon by plastic surgeons for his facial injuries. However, epiphora in the right eye persisted, for which endoscopic dacryocystorhinostomy was performed after 11 months. We used a dacryoendoscope to establish the orientation. A 2.5-mm diamond bur was used for the dacryocystorhinostomy. A Nunchaku-type silicon tube was inserted successfully, which was removed 3 months after the surgery. The epiphora disappeared within one year of this procedure.

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