The nasolacrimal duct laceration are involved in 30% of all lacrimal system injuries. Nasolacrimal duct lacerations can be the result of blunt trauma. Nasolacrimal ducts may also become obstructed by indirect trauma as an after effect of nasolacrimal laceration and facial and orbital bone fractures. The patient with nasolacrimal injuries may present with significant concurrent facial wounds, and multiple system injuries.
In this case report a 64-year-old woman is presented with deep facial laceration after a fall injury. The laceration extended from medial canthus region, anterior lacrimal crest to infraorbital region of midface (Figure A). In cases of traumatic nasolacrimal duct laceration was transected behind the minimally fractured anterior lacrimal crest (Figure B). The epidemiology, the most important principles of surgical repair of nasolacrimal duct, special techniques of reconstructive surgery. She received primary micro reconstructive repair with silicone tubing and the extended from medial nasal canthus region with local anesthesia. Two months after surgery, patient did not complain tearing and irrigation test was also patent. Lacrimal drainage laceration occurred more in upper part. (Figure C). However, nasolacrimal duct laceration is rare for the location within the bony canal. Identifying the distal cut end is usually unfamiliar for ophthalmologists.
Figure 1. (A) Shows the laceration extended from medial canthus region, anterior lacrimal crest to infraorbital region of midface (B) In cases of traumatic nasolacrimal duct laceration was transected behind the minimally fractured anterior lacrimal crest © Reveals the Lacrimal drainage laceration
Editorial Information
Editor-in-Chief
James B. Aguayo-Martel
California Northstate University College of Medicine
USA
Article Type
Image Article
Publication history
Received date: August 02, 2019
Accepted date: September 06, 2019
Published date: September 11, 2019
Copyright
©2019 Tumenjargal A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Citation
Tumenjargal A (2019) Nasolacrimal duct laceration. New Front Ophthalmol 5: DOI: 10.15761/NFO.1000240
Corresponding Author
Yen-Chang Chu
Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan
E-mail : bhuvaneswari.bibleraaj@uhsm.nhs.uk