Prelacrimal approach for nasolacrimal duct excision in the management of lacrimal system tumours.
Orbit
; 38(4): 308-312, 2019 Aug.
Article
em En
| MEDLINE
| ID: mdl-30234416
ABSTRACT
Purpose:
To report a case of a lacrimal sac tumour and describe a prelacrimal approach to the maxillary sinus to excise the nasolacrimal duct in its management. To our knowledge, this approach has not been adapted to remove the nasolacrimal duct for the management of pathological processes involving the nasolacrimal system.Methods:
A 58-year-old female patient presented with a 6-month history of epiphora. A lacrimal sac mass was identified, and a biopsy revealed squamous cell carcinoma. Surgical excision was performed via a combined external and endoscopic prelacrimal approach.Results:
A prelacrimal approach to the maxillary sinus to excise the nasolacrimal duct in combination with an external approach facilitated an en-bloc excision of the nasolacrimal apparatus. This allowed preservation on the entire inferior turbinate following reconstitution of the lateral nasal wall at the completion of the procedure.Conclusion:
The endoscopic endonasal prelacrimal approach to the maxillary sinus is a useful method to approach and excise the nasolacrimal duct in the management of nasolacrimal pathology.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Oftalmológicos
/
Carcinoma in Situ
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Endoscopia
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Neoplasias Oculares
/
Aparelho Lacrimal
/
Ducto Nasolacrimal
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
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Middle aged
Idioma:
En
Revista:
Orbit
Ano de publicação:
2019
Tipo de documento:
Article