What are the causes of dacryocystorhinostomy failure in patients with dacryocystitis?

Updated: Oct 08, 2019
  • Author: Grant D Gilliland, MD; Chief Editor: Edsel Ing, MD, MPH, FRCSC  more...
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Failure of the dacryocystorhinostomy is most commonly due to an inadequate osteotomy or a fibrous closure at the surgical ostium. Most cases of the latter can be treated with dilation of the ostium with successively larger Bowman probes. Balloon dacryocystoplasty has been shown to be effective in patients who fail dacryocystorhinostomy surgery.

Rarely, a papilloma, which is occluding the ostium, can be seen intranasally. This can be removed during intranasal revision of the osteotomy.

Fortunately, few patients fail dacryocystorhinostomy; those patients who do most often necessitate placement of a Jones tube.

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