Prevalence of nasolacrimal canal obstruction and epiphora following maxillary orthognathic surgery.

Abstract:

: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.

authors

Ozcan EM,Dergin G,Basa S

doi

10.1016/j.ijom.2018.01.003

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

715-720

issue

6

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(18)30003-1

journal_volume

47

pub_type

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