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

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 turbinat...

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Bibliographic Details
Published in:Journal of laryngology and otology Vol. 132; no. 10; pp. 940 - 942
Main Authors: Puttasiddaiah, P M, Whittet, C R, Shuttleworth, G N
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 01.10.2018
Subjects:
Adult
Air Movements
Bone
Clinical Records
Communication
Diathermy - adverse effects
Diathermy - methods
Endoscopy
Gangrene
Humans
Hypertrophy
Hypertrophy - surgery
Lacrimal gland and Nasolacrimal duct
Male
Nasal Obstruction - surgery
Nasal Surgical Procedures - methods
Nasolacrimal Duct - pathology
Nasolacrimal Duct - surgery
Nose
Ostomy
Respiratory tract
Surgery
Surgical techniques
Treatment Outcome
Turbinates - pathology
Turbinates - surgery
United Kingdom > UK
Wales
Nasolacrimal Duct
Submucosal Diathermy
Postoperative Complications
Turbinate
ISSN:0022-2151, 1748-5460, 1748-5460
Online Access:Get full text
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Summary: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 reportA 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. 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.
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ISSN:0022-2151
1748-5460
1748-5460
DOI:10.1017/S002221511800141X