Title of article :
Failed Dacryocystorhinostomy due to Retained Silicone Tube: A Case Report
Author/Authors :
Farahani, Farhad Associate Professor of Otolaryngology - Faculty of Medicine - Hamedan University of Medical Sciences , Bazzazi, Noushin Associate Professor of Otolaryngology - Faculty of Medicine - Hamedan University of Medical Sciences , Hashemian, Farnaz Associate Professor of Otolaryngology - Faculty of Medicine - Hamedan University of Medical Sciences
Abstract :
Purpose: To report a case of retained silicone tube
Case report: We report a case of 48-year-old Iranian lady who referred to the department of
otolaryngology with 18 years history of epiphora and intermittent mucopurulant discharge from the
left lacrimal canaliculi. She had external dacryocystorhinostomy (DCR) with silicon stenting for
epiphora 18 years ago but epiphora had continued after surgery. Preoperative irrigation test
revealed partial obstruction and in diagnostic nasal endoscopy the previous rhinostomy site was
patent. She was operated with revision endoscopic DCR approach and an impacted 15 millimeters
piece of silicon tube was removed from lacrimal sac.
Conclusion: This case should alert surgeons to the possibility of foreign bodies as a cause of
persistent epiphora after DCR surgery.
Keywords :
Silicone Tube , Dacryocystorhinostomy , Foreign Body , Epiphora
Journal title :
Astroparticle Physics