鼻泪管扩张伴空气反流：下鼻甲黏膜下透热疗法的一种并发症。
Patulous nasolacrimal duct with air reflux: a complication of submucosal diathermy of the inferior turbinate.
作者信息
Puttasiddaiah P M, Whittet C R, Shuttleworth G N
机构信息
Department of Otolaryngology,Morriston Hospital,Swansea,Wales,UK.
Cardiff University School of Medicine,Swansea,Wales,UK.
出版信息
J Laryngol Otol. 2018 Oct;132(10):940-942. doi: 10.1017/S002221511800141X. Epub 2018 Aug 28.
BACKGROUND
Submucosal diathermy to the inferior turbinate is a widely practised procedure to improve the nasal airway when nasal obstruction is due to hypertrophy of the inferior turbinate. This paper reports a case of an unusual nasolacrimal complication following submucosal diathermy to the inferior turbinate, and reviews the relevant literature.Case reportA 33-year-old male patient developed a patulous nasolacrimal duct opening following submucosal diathermy of the inferior turbinate. This resulted in spontaneous reflux of air and nasal mucus on to the ocular surface.
CONCLUSION
This newly recognised complication of submucosal diathermy to the inferior turbinate indicates the need to be aware of the potential risk to the nasolacrimal system with this technique.
背景
当鼻阻塞是由下鼻甲肥大引起时，下鼻甲黏膜下透热疗法是一种广泛应用于改善鼻气道的手术。本文报告了一例下鼻甲黏膜下透热疗法后发生的罕见鼻泪并发症病例，并复习相关文献。
病例报告
一名33岁男性患者在下鼻甲黏膜下透热疗法后出现鼻泪管开口扩大。这导致空气和鼻黏液自发反流至眼表。
结论
这种新认识的下鼻甲黏膜下透热疗法并发症表明，需要意识到该技术对鼻泪系统的潜在风险。
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