Middle and Western Section Meeting of the Triological Society, February 2006, San Diego, California, U.S.A.
Massive Enlargement of the Nasolacrimal Canal Causing Epiphora and Chronic Maxillary Sinusitis†
Article first published online: 2 JAN 2009
Copyright © 2006 The Triological Society
Volume 116, Issue 8, pages 1517–1519, August 2006
How to Cite
Schloegel, L. and Sindwani, R. (2006), Massive Enlargement of the Nasolacrimal Canal Causing Epiphora and Chronic Maxillary Sinusitis. The Laryngoscope, 116: 1517–1519. doi: 10.1097/01.mlg.0000225937.78859.7a
- Issue published online: 2 JAN 2009
- Article first published online: 2 JAN 2009
- Manuscript Accepted: 26 JAN 2006
- Nasolacrimal canal;
Objectives: Enlargement of the nasolacrimal canal (NLC) is a rare anatomic variant. We present the first report of a massively dilated NLC causing epiphora and chronic sinusitis.
Methods: The authors conducted a literature review and case report.
Results: A 65-year-old man with refractory sinonasal symptoms and a remote history of a dacryocystorhinostomy was found to have a massively dilated, air-filled NLC. Using a combined endoscopic transnasal and endoscope-assisted Caldwell-Luc approach, the posterolateral wall of the NLC was removed. The patient's symptoms were improved 10 months postoperatively.
Conclusions: Symptoms suggestive of nasolacrimal dysfunction should prompt a search for potential sinonasal pathology.