Bilateral Epiphora as Only Presenting Sign of Total Paranasal Sinus Aplasia.
| Autor: | Yagci B; Department of Radiology, University of Health Sciences, Haydarpasa Numune Education and Research Hospital., Mangan MS; Division of Oculoplastic and Reconstructive Surgery, University of Health Sciences, Haydarpasa Numune Education and Research Hospital, Sadik Eratik Eye Clinic, Istanbul., Toslak IE; Department of Radiology, University of Health Sciences, Antalya Education and Research Hospital, Antalya, Turkey., Balik AO; Department of Radiology, University of Health Sciences, Haydarpasa Numune Education and Research Hospital., Ozogul M; Department of Radiology, University of Health Sciences, Haydarpasa Numune Education and Research Hospital. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of craniofacial surgery [J Craniofac Surg] 2021 Jun 01; Vol. 32 (4), pp. e350-e351. |
| DOI: | 10.1097/SCS.0000000000007139 |
| Abstrakt: | Abstract: A 20-year-old female patient was presented with a bilateral epiphora. She had no history of infection or trauma related to the sinus areas. On examination, her facial appearance was abnormal and fullness on the face was observed. The fluorescein dye disappearance test was positive in both eyes. The lacrimal system irrigation was patent nasolacrimal duct. However, the dacryoscintigraphy imaging scan demonstrated bilateral obstruction at the nasolacrimal duct-inferior meatus junction. Nasal endoscopy did not reveal any pathologic findings, and lateral nasal wall, septum, and nasal cavities were normal. The patient was referred to the radiology department for a computed tomography of the paranasal sinus as a preoperative diagnostic imaging for lacrimal intervention. Computed tomography revealed the absence of all paranasal sinuses on both sides as well as absence of the ostiomeatal complex and ethmoidal air cells. Both bony lacrimal canal was narrow. Epiphora may be initial sign of total paranasal sinus aplasia. Competing Interests: The authors report no conflicts of interest. (Copyright © 2020 by Mutaz B. Habal, MD.) |
| Databáze: | MEDLINE |
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