A rare complication of hemolacria after Le fort I osteotomy: a case presentation.

Autor: Helal MS; Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Alexandria, 21531, Egypt. may.salah@alexu.edu.eg., Gaber RM; Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt., El-Kassaby M; Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
Jazyk: angličtina
Zdroj: Maxillofacial plastic and reconstructive surgery [Maxillofac Plast Reconstr Surg] 2022 Sep 17; Vol. 44 (1), pp. 29. Date of Electronic Publication: 2022 Sep 17.
DOI: 10.1186/s40902-022-00359-1
Abstrakt: Background: Nasolacrimal duct obstruction (NDO) is a common pathology preventing the proper drainage of the tears, and its main symptom is epiphora. Secondary acquired nasolacrimal duct obstruction (SANDO) can be due to a variety of causes including infection, trauma, or neoplasms. It has been reported to occur with different forms of maxillofacial trauma, especially Le Fort II, Le Fort III, naso-orbital-ethmoidal, and orbital floor fractures.
Case Presentation: A 20-year-old Egyptian female presented to correct a facial disharmony due to a cleft lip and palate defect. The patient reported a history of congenital NDO and had deficient lateral nasal walls. Bimaxillary surgery was planned, including a Le Fort I osteotomy for the maxilla and bilateral sagittal split osteotomy for the mandible. The surgery was uneventful, but the patient complained from bloody tears or hemolacria few days postoperatively. This complication began to cease spontaneously after 2 days and completely recovered after 4 days.
Conclusion: Hemolacria is an infrequent finding after maxillofacial surgeries and may be associated with CLP surgeries more than other surgeries. In this case, it was easily managed, and surgeons should be more aware of it to try to prevent its occurrence.
(© 2022. The Author(s).)
Databáze: MEDLINE
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