February 1991

Nasolacrimal Obstruction After Inferior Meatus Nasal Antrostomy

Author Affiliations

From the Departments of Otolaryngology—Head and Neck Surgery (Dr Meyers) and Ophthalmology (Dr Hawes), University of Colorado School of Medicine, Denver, and the Denver (Colo) Veterans Affairs Medical Center. Presented at the Western Triological meeting, Laguna-Niguel, Calif, January 1989.

Arch Otolaryngol Head Neck Surg. 1991;117(2):208-211. doi:10.1001/archotol.1991.01870140096015

• Transient epiphora following rhinoplasty or intranasal procedures is a common occurrence. Permanent nasolacrimal duct obstruction, however, is rare. This article documents four cases of nasolacrimal duct obstruction following intranasal antrostomy. Three patients were cured by dacryocystorhinostomy and a fourth refused surgery. The anatomy of the nasolacrimal duct in the inferior meatus has considerable variation. Although the duct typically opens in the inferior meatus immediately under the insertion of the inferior turbinate, the orifice can be a single hole, a slit, multiple holes, or a trough, and can be located anywhere from 30 to 40 mm dorsal to the anterior nares. We review the embryology and anatomy of the nasolacrimal orifice in the nose and make recommendations for safe surgery in the inferior meatus.

(Arch Otolaryngol Head Neck Surg. 1991;117:208-211)