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Patulous nasolacrimal duct with air reflux: a complication of submucosal diathermy of the inferior turbinate

  • P M Puttasiddaiah (a1), C R Whittet (a2) and G N Shuttleworth (a3)

Abstract

Background

Submucosal diathermy to the inferior turbinate is a widely practised procedure to improve the nasal airway when nasal obstruction is due to hypertrophy of the inferior turbinate. This paper reports a case of an unusual nasolacrimal complication following submucosal diathermy to the inferior turbinate, and reviews the relevant literature.

Case report

A 33-year-old male patient developed a patulous nasolacrimal duct opening following submucosal diathermy of the inferior turbinate. This resulted in spontaneous reflux of air and nasal mucus on to the ocular surface.

Conclusion

This newly recognised complication of submucosal diathermy to the inferior turbinate indicates the need to be aware of the potential risk to the nasolacrimal system with this technique.

Copyright

Corresponding author

Author for correspondence: Mr Paramesh M Puttasiddaiah, Department of Otolaryngology, Morriston Hospital, Swansea SA6 6NL, Wales, UK E-mail: paramesh_dr@yahoo.com

Footnotes

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Mr P M Puttasiddaiah takes responsibility for the integrity of the content of the paper

Footnotes

References

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2Williams, HO, Fisher, EW, Golding-Wood, DG. ‘Two-stage turbinectomy’: sequestration of the inferior turbinate following submucosal diathermy. J Laryngol Otol 1991;105:1416
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9Keh, SM, Shakeel, M, Chapman, A, Maini, SK. Osteomyelitis and necrosis of inferior turbinate following submucous diathermy to the inferior turbinate. J Otolaryngol Head Neck Surgery 2012;41:E4750
10Waite, DW, Whittet, HB, Shun-Shin, GA. Technical note: computed tomographic dacryocystography. Br J Radiol 1993;66:711–13
11Biro, N, Murchison, AP, Pribitkin, EA, Rosen, MR, Bilyk, JR. Air reflux and other sequelae following endoscopic dacryocystorhinostomy. Ophthalmic Plast Reconstr Surg 2013;29:386–8
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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