Goes F M, Knegt P P, Paridaens A D A
The Rotterdam Eye Hospital, Department of Oculoplastic Surgery, Rotterdam, the Netherlands.
Orbit. 2004 Sep;23(3):189-91. doi: 10.1080/01676830490504188.
To describe a rare cause of dacryocystorhinostomy (DCR) failure resulting from polyps herniating through the lacrimal-nasal ostium in a patient with severe, recurrent nasal polyposis.
DESIGN/METHODS: Observational case report. Clinical practice setting.
Five years after DCR surgery, a 65-year-old male patient presented with epiphora and a soft cystic enlargement in the lacrimal sac area mimicking a dacryocystocele. The Jones 1 test was negative but the Jones 2 test positive. Computer tomography (CT) showed bilateral obstruction of the nasal space by soft tissue, herniating through the lacrimal-nasal ostium, suggestive of recurrent nasal polyposis. Transnasal polypectomy was performed, which re-established tear-drainage to the nose.
Recurrent nasal polyposis may lead to DCR failure and may give rise to a soft tissue swelling at the site of previous DCR surgery.
描述在一名患有严重复发性鼻息肉病的患者中，因息肉通过泪囊鼻腔造口疝出导致泪囊鼻腔吻合术（DCR）失败的罕见原因。
设计/方法：观察性病例报告。临床实践环境。
DCR手术五年后，一名65岁男性患者出现溢泪，泪囊区有软性囊性肿大，类似泪囊膨出。琼斯1试验阴性，但琼斯2试验阳性。计算机断层扫描（CT）显示鼻腔被软组织双侧阻塞，软组织通过泪囊鼻腔造口疝出，提示复发性鼻息肉病。进行了经鼻息肉切除术，重新建立了泪液向鼻腔的引流。
复发性鼻息肉病可能导致DCR失败，并可能在先前DCR手术部位引起软组织肿胀。
