The Effect of Endonasal Dacryocystorhinostomy in the Paranasal Mucocele Invading Nasolacrimal Duct.

Chung, Gyu Chul; Jo, Seung Hwan; Yang, Jae Wook

doi:2018.59.3.203

J Korean Ophthalmol Soc > Volume 59(3); 2018 > Article

Original Article

Journal of the Korean Ophthalmological Society 2018;59(3):203-208.
DOI: https://doi.org/10.3341/jkos.2018.59.3.203 Published online March 15, 2018.

The Effect of Endonasal Dacryocystorhinostomy in the Paranasal Mucocele Invading Nasolacrimal Duct.

Gyu Chul Chung, Seung Hwan Jo, Jae Wook Yang

¹Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. oculoplasty@gmail.com
²T2B Infrastructure Center for Ocular Disease, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

코눈물관을 침범한 코곁굴 점액낭종에서 코경유눈물주머니코안연결술의 효과

정규철^1,2⋅조승환^1,2⋅양재욱^1,2

인제대학교 의과대학 부산백병원 안과학교실¹, 인제대학교 의과대학 부산백병원 안과질환 T2B 기반구축센터²

Correspondence: Jae Wook Yang,
Email: oculoplasty@gmail.com

Received: 19 October 2017 • Revised: 21 November 2017 • Accepted: 20 February 2018

Abstract

PURPOSE
To evaluate the effect of endonasal dacryocystorhinostomy in the paranasal mucocele invading nasolacrimal duct. METHODS: We analyzed 252 patients who were diagnosed with paranasal mucocele from 2006 to 2017, and found 14 patients (14 eyes) who underwent endonasal dacryocystorhinostomy in the paranasal mucocele invading nasolacrimal duct. Clinical features and surgical results of the patients were analyzed retrospectively. RESULTS: The origins of the mucocele were frontoethmoidal sinus (seven cases, 50%) and ethmoidal sinus(seven cases, 50%). The most common symptom from the first visit was epiphora (13 cases, 92.8%); medial canthal mass (nine cases, 64.2%) was the second most common symptom. Every patient underwent endonasal dacryocystorhinostomy with rhinology and sinus surgery according to the type, size, and severity of the paranasal mucocele. Every patient showed successful irrigation in the lacrimal canalicular irrigation test and improved epiphora 6 months postoperatively. CONCLUSIONS: When paranasal mucocele invades the orbit, it can cause diplopia, exophthalmos, extraocular muscle movement disorders, visual impairments, and increased intraocular pressure. Furthermore, if it invades the nasolacrimal duct, it can cause obstruction of the nasolacrimal duct and result in epiphora. Based on our results, endonasal dacryocystorhinostomy was an effective primary treatment.

Key Words: Endonasal dacryocystorhinostomy;Epiphora;Ethmoidal mucocele;Frontoethmoidal mucocele;Paranasal mucocele