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An Atypical Case of Lacrimal Sac Fistula Located on the Temporal Side of the Lateral Canthus

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We report a case of congenital lacrimal sac fistula located on the temporal side of the lateral canthus. A systemically healthy 1-year-old girl came to the outpatient clinic with a complaint of tearing on the temporal side of the right lateral canthus since birth. On examination, a small orifice was found in the skin on the temporal side of the lateral canthus. There was no evidence of inflammation or swelling within the opening. Surgeons carried out an operation under general anesthesia. They passed a probe through the lacrimal orifice and advanced it toward the lacrimal sac. Next, they introduced saline to the inferior punctum and found that it drained to the lateral fistula. The lower lid stretched as the dissected fistula was pulled. After the operation, the patient was free of the symptom. This paper is to report a case of congenital lacrimal sac fistula located on the temporal side of the lateral canthus.

Abstract

We report a case of congenital lacrimal sac fistula located on the temporal side of the lateral canthus. A systemically healthy 1-year-old girl came to the outpatient clinic with a complaint of tearing on the temporal side of the right lateral canthus since birth. On examination, a small orifice was found in the skin on the temporal side of the lateral canthus. There was no evidence of inflammation or swelling within the opening. Surgeons carried out an operation under general anesthesia. They passed a probe through the lacrimal orifice and advanced it toward the lacrimal sac. Next, they introduced saline to the inferior punctum and found that it drained to the lateral fistula. The lower lid stretched as the dissected fistula was pulled. After the operation, the patient was free of the symptom. This paper is to report a case of congenital lacrimal sac fistula located on the temporal side of the lateral canthus.

참고문헌 (6)

  1. 김현호, "눈물점마개를 이용한 눈물샛길의 치료", 대한안과학회지, 48(4), pp.589~592 (2007), 대한안과학회
  2. 송병용, "선천성 누루의 임상양상과 치료결과", 대한안과학회지, 47(6), pp.871~876 (2006), 대한안과학회
  3. Zhuang L, "Bilateral congenitallacrimal fistulae: a case report and review of the literature", Laryngoscope, 120(Suppl 4), pp.230~ (2010)
  4. Blanksma LJ, "Congenital fistulae of the lacrimalgland", Br J Ophthalmol, 64, pp.515~517 (1980)
  5. 정상기, "선천성누루의 수술적 치료", 대한안과학회지, 43(5), pp.1~804 (2002), 대한안과학회
  6. 송병용, "선천성누루의 임상경험", 대한안과학회지, 45(10), pp.1~1 (2004), 대한안과학회

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