The distal lacrimal ductal system and traumatic epiphora.

Abstract:

:While transient epiphora is well documented in the literature, the incidence of permanent epiphora associated with maxillofacial procedures (Le Fort I, II, III, osteotomies, nasal atrostomies and mid-face fractures) is rare. However, little attention has been paid to the distal lacrimal ductal system and its relationship to permanent epiphora. The distal nasolacrimal ductal system was studied in adult dry skulls and cadaver specimens. These findings were correlated by clinical observation. Specific areas of emphasis within this complex include the length, width, and angulation of this system. Clinical applications are discussed based on an anatomical rationale for the limitation of the superior repositioning of the maxilla as well as for proper placement of the antral window in nasal antrostomy procedures and what anticipated post-residual effects of mid-facial trauma are on the ductal system.

authors

Little C,Mintz S,Ettinger AC

doi

10.1016/s0901-5027(05)80691-5

subject

Has Abstract

pub_date

1991-02-01 00:00:00

pages

31-5

issue

1

eissn

0901-5027

issn

1399-0020

journal_volume

20

pub_type

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