Ahn Ye Jin, Jung Su Kyung, Paik Ji Sun, Yang Suk-Woo
Department of Ophthalmology and Visual Science, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Craniofac Surg. 2013 Jul;24(4):1317-8. doi: 10.1097/SCS.0b013e3182953a4d.
We report a case of lacrimal gland fistula formation after cosmetic lateral canthoplasty in a young Asian woman.
A 34-year-old woman, who twice underwent lateral canthoplasties of both eyes with additional upper eyelid blepharoplasty, developed clear fluid discharge from a small draining tract near the lateral canthus after being operated on with cosmetic lateral canthoplasty. Assuming that lacrimal gland fistula has developed, we differentiated the tract from the lacrimal gland using a Bowman probe and performed lacrimal gland fistulectomy, which resolved the discharge, leaving no complications.
To our knowledge, this is the first case of lacrimal gland fistula after cosmetic lateral canthoplasty, and surgeons performing this procedure should be aware of lacrimal gland herniation and fistula tract formation, especially in patients who have undergone multiple eyelid surgeries.
我们报告一例年轻亚洲女性在进行美容性外眦成形术后形成泪腺瘘的病例。
一名34岁女性，双眼曾两次接受外眦成形术并额外进行上睑成形术，在接受美容性外眦成形术后，外眦附近一个小引流道出现清亮液体流出。考虑到已形成泪腺瘘，我们使用鲍曼探针将该引流道与泪腺区分开，并进行了泪腺瘘切除术，解决了液体流出问题，未留下并发症。
据我们所知，这是美容性外眦成形术后发生泪腺瘘的首例病例，进行该手术的外科医生应意识到泪腺疝和瘘管形成的可能性，尤其是在接受过多次眼睑手术的患者中。
