Canaliculorhinostomy following dacryocystectomy for removal of a benign fibrous histiocytoma of the lacrimal sac.
A 41-year-old woman had epiphora and a right lacrimal sac mass. A solid mass filling the entire lacrimal sac was found at surgery. After a month of testing and evaluation at the Armed Forces Institute of Pathology, the final diagnosis was benign fibrous histiocytoma. A dacryocystectomy was performed, and the entire tumor was removed. The area of the common canaliculus was then attached to a nasal mucosal flap, and the system was intubated with silicone tubing for 1 year. Two years after the tubing was removed, the epiphora had resolved and there was no recurrence of the tumor.
Older
J J
JJ
Department of Ophthalmology, University of South Florida College of Medicine, Tampa.
Sims
L M
LM
D000328:Adult; D003608:Dacryocystorhinostomy / Q000379:methods*; D004322:Drainage; D005260:Female; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery*; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000601:surgery*; D009297:Nasal Mucosa / Q000601:surgery; D009301:Nasolacrimal Duct / Q000601:surgery*; D010030:Ostomy / Q000379:methods; D013524:Surgical Flaps