Prevalence of nasolacrimal canal obstruction and epiphora following maxillary orthognathic surgery

Ozcan E. M., Dergin G., Basa S.

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, cilt.47, ss.715-720, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1016/j.ijom.2018.01.003
  • Dergi Adı: INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.715-720
  • Anahtar Kelimeler: nasolacrimal duct, orthognathic surgery, Le Fort I, epiphora, LACRIMAL DUCT OBSTRUCTION, FORT-I OSTEOTOMY, ORBITAL CELLULITIS, COMPLICATIONS, DACRYOSCINTIGRAPHY, DACRYOCYSTORHINOSTOMY, DACRYOCYSTOGRAPHY, DACRYOCYSTITIS, EXPERIENCE, ABSCESS
  • Marmara Üniversitesi Adresli: Evet

Özet

Acquired injuries of the nasolacrimal apparatus may be the result of craniomaxillofacial surgical procedures, facial trauma, or inflammation. Injury to the nasolacrimal duct system following maxillary orthognathic surgery is rarely reported. This study evaluated the importance of early diagnosis and treatment of epiphora developing after Le Fort I surgery. The records of 83 patients who underwent maxillary orthognathic surgery over a 2-year period were reviewed. The prevalence of postoperative epiphora was 3.6% and it persisted for a mean of 32.7 days. No patient required further surgical treatment of the nasolacrimal duct obstruction. Clinicians should evaluate the lacrimal canal position and schedule close postoperative follow-up of injuries to the nasolacrimal apparatus. These may become permanent, necessitating additional surgery.