Meyers A D, Hawes M J
Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Denver 80262.
Arch Otolaryngol Head Neck Surg. 1991 Feb;117(2):208-11. doi: 10.1001/archotol.1991.01870140096015.
Transient epiphora following rhinoplasty or intranasal procedures is a common occurrence. Permanent nasolacrimal duct obstruction, however, is rare. This article documents four cases of nasolacrimal duct obstruction following intranasal antrostomy. Three patients were cured by dacryocystorhinostomy and a fourth refused surgery. The anatomy of the nasolacrimal duct in the inferior meatus has considerable variation. Although the duct typically opens in the inferior meatus immediately under the insertion of the inferior turbinate, the orifice can be a single hole, a slit, multiple holes, or a trough, and can be located anywhere from 30 to 40 mm dorsal to the anterior nares. We review the embryology and anatomy of the nasolacrimal orifice in the nose and make recommendations for safe surgery in the inferior meatus.
隆鼻术或鼻内手术后出现短暂性溢泪是常见现象。然而，永久性鼻泪管阻塞却很罕见。本文记录了4例鼻内上颌窦造口术后鼻泪管阻塞的病例。3例患者通过泪囊鼻腔吻合术治愈，第4例拒绝手术。鼻泪管在下鼻道的解剖结构有很大差异。尽管该导管通常在下鼻甲附着处正下方的下鼻道开口，但开口可为单孔、裂隙、多孔或槽状，且可位于鼻前孔背侧30至40毫米的任何位置。我们回顾了鼻内鼻泪管口的胚胎学和解剖学，并对下鼻道的安全手术提出建议。
