title: A Surprise in the Lacrimal Sac.
abstract: To present a case with recurrent dacryocystitis as an unusual complication of medial orbital wall fracture repair with cartilage tissue graft. A 20-year-old male had facial trauma and underwent surgery to reconstruct right medial orbital wall fracture. During follow-up, he presented with continuous epiphora, mucopurulent discharge from the right eye. A thorough history taking indicated that medial orbital fracture was reconstructed with postauricular cartilage. We planned a standard external dacryocystorhinostomy (DCR). During the creation of lacrimal sac flaps, hard tissue was noted in the lacrimal sac. This tissue was excised and sent for pathological examination. The pathological examination revealed cartilage tissue. There were no further ipsilateral symptoms or complications after DCR. In patients with lacrimal system injury related to orbital wall fracture, iatrogenic foreign bodies in the lacrimal sac should be considered in patients with recurrent dacryocystitis who had reconstructive surgery for facial and orbital trauma.
authors.affiliation: Department of Ophthalmology, Ankara Ataturk Education and Research Hospital, Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Nilay
authors.initials: N
authors.lastname: Yuksel
authors.affiliation: Department of Ophthalmology, Ankara Ataturk Education and Research Hospital, Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Akcay
authors.affiliation: Department of Pathology, Ankara Ataturk Education and Research Hospital, Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Aydan
authors.initials: A
authors.lastname: Kilicarslan
authors.affiliation: Department of Ophthalmology, Ankara Ataturk Education and Research Hospital, Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Umut
authors.initials: U
authors.lastname: Ozen
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Ozturk
mesh_terms: D003607:Dacryocystitis / Q000175:diagnosis* / Q000601:surgery; D003608:Dacryocystorhinostomy; D054644:Ear Auricle; D004425:Ear Cartilage / Q000473:pathology* / Q000637:transplantation; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007765:Lacrimal Apparatus / Q000473:pathology* / Q000601:surgery; D008297:Male; D009917:Orbital Fractures / Q000601:surgery*; D012008:Recurrence; D013524:Surgical Flaps; D055815:Young Adult
keywords: Cartilage Graft; Lacrimal System Injury; Orbital Wall Fracture