Symptomatic lacrimal duct diverticulum associated with closed nasal fracture.
Diverticula of the nasolacrimal collecting system are rare. Their cause may be congenital, inflammatory, or traumatic. A diverticulum of the nasolacrimal duct that presented 26 years after nasal trauma is described. The location of this diverticulum is extremely uncommon, and a case occurring after closed nasal trauma has not yet been presented. Evaluative studies and pertinent anatomy are reviewed. In any patient with recurrent dacryocystitis after nasal fracture, the diagnosis of a lacrimal system diverticulum should be considered. A detailed history and physical examination combined with dacryocystography can be confirmatory. Treatment should consist of surgical exploration with a nasolacrimal system bypass procedure.
Spinelli
H M
HM
Department of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT 06510.
Shih
S
S
D000328:Adult; D003607:Dacryocystitis / Q000209:etiology; D004240:Diverticulum / Q000209:etiology*; D005260:Female; D005596:Fractures, Closed / Q000150:complications*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000209:etiology*; D009666:Nose / Q000293:injuries*