Jafaripour Masoud, Kashfi Seyed Abolfazl
Private Practice, Isfahan, Iran.
Ann Plast Surg. 2019 Jan;82(1):8-10. doi: 10.1097/SAP.0000000000001660.
Lacrimal injury is very uncommon after osteotomy in rhinoplasty. We present 2 cases of lacrimal injury after osteotomy in rhinoplasty and present the steps to managing such an injury. These cases were finally treated with endoscopic dacryocystorhinostomy. We concluded that osteotomies must be at least 3 mm from the medial canthus or medial to the line from the medial canthus to the alar base. Also, it is recommended that osteotome blades be sharpened before each osteotomy.
鼻整形术中截骨后泪道损伤非常罕见。我们报告2例鼻整形术中截骨后泪道损伤的病例，并介绍处理此类损伤的步骤。这些病例最终通过内镜下泪囊鼻腔造口术进行治疗。我们得出结论，截骨必须距离内眦至少3毫米，或在内眦至鼻翼基部连线的内侧。此外，建议在每次截骨前将骨凿刀片磨锋利。
