[Foreign body granuloma resulting from a lacorhinostomy tube's migration associated with actinomycosis of the lacrimal sac].
BACKGROUND
Lacorhinostomy is a surgical procedure that establishes a permanent communication between the caruncular region and the nasal fossa using a fixed tube. The main complications involve the biotolerance of this tube.


METHODS
Fifteen years after lacrimal surgery, a patient presented with repeated canthal inflammation associated with epistaxis on the same side. The anterior rhinoscopy showed an occlusion of the inferior meatus by a mucous tumor, bleeding to the contact. A lacrimal sac scan disclosed a local tumor without bone erosion. With an endonasal dacryocystorhinostomy, a lacorhinostomy tube was found hidden in the canthal region associated with actinomycosis of the lacrimal sac.


CONCLUSIONS
Lacrimal actinomycosis is mostly primitive, although actinomycosis in other locations may be associated with the presence of a foreign body. In that case, the association is probably a coincidence.


CONCLUSIONS
When a tumor develops after lacrimal surgery, a foreign body reaction must be suspected.
Khlif
H
H
Service d'Ophtalmologie, Hôtel-Dieu, Paris, France. hellakhlif@yahoo.fr
Racy
E
E
Fayet
B
B
D000196:Actinomycosis / Q000150:complications* / Q000601:surgery; D003608:Dacryocystorhinostomy / Q000295:instrumentation*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D015745:Granuloma, Foreign-Body / Q000209:etiology*; D006801:Humans; D007765:Lacrimal Apparatus / Q000382:microbiology* / Q000601:surgery; D008875:Middle Aged