Endoscopic Ultrasonic Dacryocystorhinostomy for Recurrent Dacryocystitis Following Rhinoplasty.

By Novembre 27, 2017 Gennaio 24th, 2020 No Comments

Nadia K. Mostovych, MD Mindy R. Rabinowitz, MD Jurij R. Bilyk, MDEdmund A. Pribitkin, MD

Aesthetic Surgery Journal, Volume 34, Issue 4, 1 May 2014, Pages 520–525

Published: 01 May 2014


The lacrimal sac is the structure most vulnerable to injury when performing rhinoplastic osteotomies. When performed in a low lateral position or along the frontal process of the frontal-maxillary suture, osteotomies can potentially tear the medial canthal tendon and injure the underlying lacrimal sac, possibly resulting in dacryocystitis. In this case report, the authors discuss a case of dacryocystitis following primary rhinoplasty; this injury was repaired with endoscopic dacryocystorhinostomy (DCR) using a Sonopet ultrasonic bone aspirator (Stryker, Kalamazoo, Michigan) at a single institution. This method achieved nasolacrimal duct patency, and the patient continued to be symptom-free at an 18-month follow-up. This is the first reported case of recurrent dacryocystitis following rhinoplasty as treated by endoscopic DCR.

Level of Evidence: 5