A case of epiphora secondary to a large apical periodontal cyst

Autor: Elio Kmeid, Bassam Romanos
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Otolaryngology Case Reports, Vol 24, Iss , Pp 100467- (2022)
Druh dokumentu: article
ISSN: 2468-5488
DOI: 10.1016/j.xocr.2022.100467
Popis: Background: The objective of this manuscript is to report a rare cause of epiphora. Ophthalmologists may consider referring patients to otolaryngologists for refractory epiphora. Case presentation: We report a case of a 54-year-old female patient presenting to the clinic for chronic nasal obstruction and epiphora. A CT scan revealed the presence of a large apical periodontal cyst derived from the posterior root of the last residual molar of the right upper quadrant. Its superomedial edge is responsible for a medial bulge of the maxillary bony wall, filling the osteomeatal complex. A right septal deviation was noted secondary to the mass effect. Conclusion: No case in the literature has described nasolacrimal duct obstruction secondary to a radicular cyst. This case report describes a patient presenting with chronic epiphora that has resolved with cyst removal. Tearing was found to be secondary to a radicular cyst.
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