DCR for Iatrogenic Dacrostenosis After Rhinoplasty?

I am 10wk postop rhinoplasty and need DCR for trauma to my NL duct. 3 experienced oculoplastic surgeons have probed and confirmed this. Tearing has worsened and now the lacrimal sac has scarred and the tears spray out of my eye. None of them will do endoscopic DCR in my situation as they say my nares and middle nasal vault are too small, and that the procedure will fail. I am disappointed at this situation and complication which all state should not have occurred. How obvious will this scar be?

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scarring 2 months post-op

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2 Doctor Answers | Asked by StrawberryRoad2

Doctor Answers (2)
Community Comments (1)

DCR

Sorry to hear of your trouble. You should proceed through the DCR procedure without major scars and this operation can be a God Send.

DCR After Rhioplasty

Hi, I am sorry for the troubled situation you are enduring. However, I recommend that you proceed with the DCR procedure as you do not want your situation to get worse and irreparable damage takes place. Best of luck to you. Dr. Sajjadian

Comments (1)

StrawberryRoad2 25 Jul 2012

I should clarify, further workup has occurred. Firstly it appears that I will be able to have endoscopic DCR by an oculoplastic surgeon and ENT. Also, although this did occur as a sequela of the rhinoplasty/septoplasty, it is not completely clear that the lateral osteotomy caused this on the basis of CT. I will proceed with the DCR and my nose is otherwise healing as expected at 3 months postop. I may undergo one more imaging study of my lacrimal system prior to surgery.

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