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Incidence of neoplasia in patients with unilateral epiphora

Published online by Cambridge University Press:  15 July 2015

T Bewes ,
R Sacks ,
P L Sacks ,
D Chin ,
N Mrad ,
G Wilcsek ,
K Tumuluri  and
R Harvey
T Bewes*
Affiliation:
St Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney, Australia Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
R Sacks
Affiliation:
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia Australian School of Advanced Medicine, Macquarie University, Sydney, Australia
P L Sacks
Affiliation:
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
D Chin
Affiliation:
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
N Mrad
Affiliation:
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
G Wilcsek
Affiliation:
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia
K Tumuluri
Affiliation:
Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia Australian School of Advanced Medicine, Macquarie University, Sydney, Australia
R Harvey
Affiliation:
St Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney, Australia Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia Australian School of Advanced Medicine, Macquarie University, Sydney, Australia
*
Address for correspondence: Dr Therese Bewes, St Vincent's Centre for Applied Medical Research, Level 4 Lowy Packer Building, 405 Liverpool Street, Darlinghurst, NSW 2010, Australia Fax: (+61) 2 8382 4901 E-mail: tessbewes@gmail.com
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Abstract

Background:

Nasolacrimal duct obstruction is common and is usually a result of benign stricture formation. Although neoplasia near or around the lacrimal system may produce epiphora, the incidence of neoplasia from within the lacrimal system as a cause of nasolacrimal duct obstruction is not well documented.

Methods:

A retrospective study was performed on all patients undergoing dacryocystorhinostomy with a history of epiphora. The incidence of patients with operative findings of intra-lacrimal neoplasm was sought. Histopathologically confirmed cases were included.

Results:

The study comprised 537 patients, who underwent a total of 631 endoscopic dacryocystorhinostomy procedures between January 1998 and July 2013. Non-stenotic causes of nasolacrimal duct obstruction were encountered in 3.01 per cent of dacryocystorhinostomy procedures, and included neoplastic, inflammatory and infectious pathologies. Inverted papilloma was the most common cause, encountered in 0.79 per cent of dacryocystorhinostomy operations.

Conclusion:

These findings suggest that neoplasia is an uncommon but not a rare cause of nasolacrimal duct obstruction. Surgical teams performing high numbers of dacryocystorhinostomy procedures should be aware of such pathology and patients counselled appropriately.

Keywords

DacryocystorhinostomyLacrimal Apparatus DiseasesNeoplasmsIncidencePapilloma, Inverted
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Supplement S3 , July 2015 , pp. S53 - S57
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented as a poster at the Australian Society of Otolaryngology Head and Neck Surgery 2014 Annual Scientific Meeting, 29 March – 1 April 2014, Brisbane, Australia.

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