Nasolacrimal duct obstruction secondary to dental impaction

Antonio Giordano Resti, Giacomo Bertazzoni, Matteo Trimarchi

Research output: Contribution to journalArticle

Abstract

Purpose: To describe a patient with nasolacrimal duct obstruction (NLDO) caused by dental impaction. Methods: This is an interventional case report of an 18-year-old man presenting epiphora of the right eye. Previous surgical management was unsuccessful. Computed tomography (CT) of the orbits and sinuses was performed. Dacryocystorhinostomy (DCR) on the right lacrimal sac resulted in complete remission of symptoms. The DCR surgical outcome at last follow-up was recorded. Results: The CT imaging showed ankylosis of deciduous canines and impaction of persistent canines. The root of the right impacted dental element was involved with the nasolacrimal duct, leading to NLDO. Endoscopic DCR resulted in complete remission of symptoms. The patient was symptom-free at last follow-up. Conclusions: Our case adds NLDO to the long list of complications arising from dental impactions, highlighting the importance of correct early management of the latter condition. This case also shows that dental impaction can be included among the secondary mechanical causes of NLDO.

Original languageEnglish
Pages (from-to)611-613
Number of pages3
JournalEuropean Journal of Ophthalmology
Volume24
Issue number4
DOIs
Publication statusPublished - Dec 20 2013

Keywords

  • Dacryocystorhinostomy
  • Dental impaction
  • Epiphora
  • Nasolacrimal duct
  • Nasolacrimal duct obstruction
  • Tooth

ASJC Scopus subject areas

  • Ophthalmology

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