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Nasolacrimal sac granuloma

MedGen UID:
1636350
•Concept ID:
C4703687
•
Anatomical Abnormality
HPO: HP:0500035

Definition

A mass of granulation tissue in response to chronic dacryocystitis as polypoid formations or they follow accidental injury, from probing and as a reaction to retained foreign bodies in the sac. [from HPO]

Recent clinical studies

Etiology

Ethmoid Sinus Mucosal and Lacrimal Sac Flap Anastomosing in Patients With Failed Dacryocystorhinostomy.
Yu B, Xia Y, Ji Y, Tu Y, Wu W
J Craniofac Surg 2021 May 1;32(3):1071-1074. doi: 10.1097/SCS.0000000000007190. PMID: 33055566
The role of routine nasolacrimal sac biopsy during endoscopic dacryocystorhinostomy.
Banks C, Scangas GA, Husain Q, Hatton MP, Fullerton Z, Metson R
Laryngoscope 2020 Mar;130(3):584-589. Epub 2019 May 23 doi: 10.1002/lary.28070. PMID: 31120602
Nasal and Lacrimal Sac Histopathology in Patients With Systemic Sarcoidosis Undergoing External Lacrimal Drainage Surgery.
Stewart CM, Luthert PJ, Rose GE
Ophthalmic Plast Reconstr Surg 2019 May/Jun;35(3):247-250. doi: 10.1097/IOP.0000000000001217. PMID: 30234834
Transconjunctival dacryocystorhinostomy: scarless surgery without endoscope and laser assistance.
Kaynak-Hekimhan P, Yilmaz OF
Ophthalmic Plast Reconstr Surg 2011 May-Jun;27(3):206-10. doi: 10.1097/IOP.0b013e3181e9a361. PMID: 20871467
Clinically suspected primary acquired nasolacrimal duct obstruction: clinicopathologic review of 150 patients.
Tucker N, Chow D, Stockl F, Codère F, Burnier M
Ophthalmology 1997 Nov;104(11):1882-6. doi: 10.1016/s0161-6420(97)30012-8. PMID: 9373121

Diagnosis

Nasolacrimal Duct Obstruction: An Unusual Presentation of Sarcoidosis.
Nassif SJ, Ruiz D, Callahan A, Rebeiz EE
Ear Nose Throat J 2022 May;101(4):NP143-NP145. Epub 2020 Aug 31 doi: 10.1177/0145561320950494. PMID: 32865461
Lacrimal Intrasaccal Polyp With Inspissated Mucopeptide Concretions.
Ali MJ, Joshi A, Pattnaik M, Jakati S
Ophthalmic Plast Reconstr Surg 2021 Jul-Aug 01;37(4):e145-e148. doi: 10.1097/IOP.0000000000001936. PMID: 33587423
The role of routine nasolacrimal sac biopsy during endoscopic dacryocystorhinostomy.
Banks C, Scangas GA, Husain Q, Hatton MP, Fullerton Z, Metson R
Laryngoscope 2020 Mar;130(3):584-589. Epub 2019 May 23 doi: 10.1002/lary.28070. PMID: 31120602
Dacryocystitis and Rhinosinusitis Secondary to Sarcoidosis.
Ishikawa E, Takahashi Y, Nishimura K, Ito M, Kakizaki H
J Craniofac Surg 2019 Jan;30(1):e52-e54. doi: 10.1097/SCS.0000000000004971. PMID: 30444768
Clinical significance of routine lacrimal sac biopsy during dacryocystorhinostomy: A comprehensive review of literature.
Koturović Z, Knežević M, Rašić DM
Bosn J Basic Med Sci 2017 Feb 21;17(1):1-8. doi: 10.17305/bjbms.2016.1424. PMID: 27754826Free PMC Article

Therapy

Endoscopic Endonasal Dacryocystorhinostomy With a Novel Lacrimal Ostium Stent in Chronic Dacryocystitis Cases With Small Lacrimal Sac.
Yu B, Qian Z, Han X, Tu Y, Wu W
J Craniofac Surg 2020 Jul-Aug;31(5):1348-1352. doi: 10.1097/SCS.0000000000006359. PMID: 32282472
Primary tubercular dacryocystitis - a case report and review of 18 cases from the literature.
Sagar P, Shankar R, Wadhwa V, Singh I, Khurana N
Orbit 2019 Aug;38(4):331-334. Epub 2018 Aug 24 doi: 10.1080/01676830.2018.1513044. PMID: 30142013
Experience with endoscopic dacryocystorhinostomy using four methods.
de Souza C, Nissar J
Otolaryngol Head Neck Surg 2010 Mar;142(3):389-93. doi: 10.1016/j.otohns.2009.12.031. PMID: 20172386
Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation.
Allen K, Berlin AJ
Ophthalmic Surg 1989 Jul;20(7):486-9. PMID: 2779952
Nonspecific granuloma of lacrimal sac harboring polyethylene tube.
WEIZENBLATT S
AMA Arch Ophthalmol 1957 Jul;58(1):130-4. doi: 10.1001/archopht.1957.00940010142014. PMID: 13434546

Prognosis

Long-term outcomes of revision endoscopic dacryocystorhinostomy aided by 4-mm coronary balloon catheter dacryoplasty.
Ali MJ, Bothra N
Indian J Ophthalmol 2021 Mar;69(3):751-754. doi: 10.4103/ijo.IJO_1948_20. PMID: 33595518Free PMC Article
Usefulness of the dacryoscintigraphy in patients with nasolacrimal duct obstruction prior to endoscopic dacryocystorhinostomy.
Kim DJ, Baek S, Chang M
Graefes Arch Clin Exp Ophthalmol 2019 Jul;257(7):1535-1540. Epub 2019 Apr 29 doi: 10.1007/s00417-019-04303-4. PMID: 31037489
Nasal and Lacrimal Sac Histopathology in Patients With Systemic Sarcoidosis Undergoing External Lacrimal Drainage Surgery.
Stewart CM, Luthert PJ, Rose GE
Ophthalmic Plast Reconstr Surg 2019 May/Jun;35(3):247-250. doi: 10.1097/IOP.0000000000001217. PMID: 30234834
Clinicopathologic findings after nasolacrimal polyurethane stent implantations.
Lee JH, Kang MS, Yang JW
Korean J Ophthalmol 2005 Dec;19(4):252-7. doi: 10.3341/kjo.2005.19.4.252. PMID: 16491813
Clinically suspected primary acquired nasolacrimal duct obstruction: clinicopathologic review of 150 patients.
Tucker N, Chow D, Stockl F, Codère F, Burnier M
Ophthalmology 1997 Nov;104(11):1882-6. doi: 10.1016/s0161-6420(97)30012-8. PMID: 9373121

Clinical prediction guides

Long-term outcomes of revision endoscopic dacryocystorhinostomy aided by 4-mm coronary balloon catheter dacryoplasty.
Ali MJ, Bothra N
Indian J Ophthalmol 2021 Mar;69(3):751-754. doi: 10.4103/ijo.IJO_1948_20. PMID: 33595518Free PMC Article
Endoscopic Endonasal Dacryocystorhinostomy With a Novel Lacrimal Ostium Stent in Chronic Dacryocystitis Cases With Small Lacrimal Sac.
Yu B, Qian Z, Han X, Tu Y, Wu W
J Craniofac Surg 2020 Jul-Aug;31(5):1348-1352. doi: 10.1097/SCS.0000000000006359. PMID: 32282472
The role of routine nasolacrimal sac biopsy during endoscopic dacryocystorhinostomy.
Banks C, Scangas GA, Husain Q, Hatton MP, Fullerton Z, Metson R
Laryngoscope 2020 Mar;130(3):584-589. Epub 2019 May 23 doi: 10.1002/lary.28070. PMID: 31120602
Usefulness of the dacryoscintigraphy in patients with nasolacrimal duct obstruction prior to endoscopic dacryocystorhinostomy.
Kim DJ, Baek S, Chang M
Graefes Arch Clin Exp Ophthalmol 2019 Jul;257(7):1535-1540. Epub 2019 Apr 29 doi: 10.1007/s00417-019-04303-4. PMID: 31037489
Endoscopic endonasal dacryocystorhinostomy with ostial stent intubation following nasolacrimal duct stent incarceration.
Wang X, Bian Y, Yan W, Daniel P, Tu Y, Wu W
Curr Eye Res 2015;40(12):1185-94. Epub 2014 Dec 11 doi: 10.3109/02713683.2014.987873. PMID: 25495271

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