CC BY-NC-ND 4.0 · Indian J Plast Surg 2013; 46(01): 124-126
DOI: 10.4103/0970-0358.113730
Case Report
Association of Plastic Surgeons of India

Rare case of nasolacrimal duct opening into face

Bibhuti Bhusan Nayak
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Orissa, India
,
Nilamani Mohanty
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Orissa, India
,
Annada Prasad Patnaik
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Orissa, India
› Author Affiliations
Further Information

Publication History

Publication Date:
07 October 2019 (online)

ABSTRACT

Congenital anomaly of nasolacrimal duct is mostly obstructive in nature or is seen in oblique facial clefts. Nasolacrimal duct drain into the inferior meatus in the nose in a normally developed face. We report a rare case of aberrant opening of distal end of nasolacrimal duct into the external skin lateral to the ala of nose in an adult patient. The only case reported so far was in an infant. The patient is a 22 year young male presenting with an opening lateral to the left ala of nose with recurrent discharge and conjunctivitis of left eye. The embryology is also discussed.

 
  • 1 Lowe D, Martin F, Beckenham E, Williams B. Congenital lower nasolacrimal duct anomaly: A case report. Aust N Z J Ophthalmol 1986;14:65-8.
  • 2 Stretch JR, Poole MD. Nasolacrimal abnormalities in oblique facial clefts. Br J Plast Surg 1990;43:463-7.
  • 3 Datta AK. Essentials of Human Embryology. 6 th ed., Kolkata, Current Books international, 2010; p 119-20.
  • 4 Coats DK, McCreery KM, Plager DA, Bohra L, Kim DS, Paysse EA. Nasolacrimal outflow drainage anomalies in Down′s syndrome. Ophthalmology 2003;110:1437-41.
  • 5 Breit S, Kunzel W, Oppel M. The course of the nasolacrimal duct in brachycephalic cats. Anat Histol Embryol 2003;32:224-7
  • 6 Moore BD. Lacrimal system abnormalities. Optom Vis Sci 1994;71:182-3.