Tränengangsobstruktion
Obstruction
of nasolacrimal drainage apparatus • Post-saccular lacrimal duct stenosis - Ganzer Fall bei Radiopaedia
Obstruction
of nasolacrimal drainage apparatus • Lester Jones tube - Ganzer Fall bei Radiopaedia
Recurrent
epiphora after dacryocystorhinostomy surgery: Structural abnormalities identified with dacryocystography and long term outcomes of revision surgery. Images showing the different abnormalities seen on DCGs following DCR surgery. a right inferior canalicular block, b left common canalicular block, c right complete surgical anastamosis closure with closed sac remnant, d left complete surgical anastamosis closure with flow through the nasolacrimal duct, e right narrow anastomosis with narrow flow-stream into the nasal space, f right narrow and high anastamosis, g right narrow anastamosis with retained dye on erect x-ray, h right narrow anastamosis with dye also passing through the nasolacrimal duct
Recurrent
epiphora after dacryocystorhinostomy surgery: Structural abnormalities identified with dacryocystography and long term outcomes of revision surgery. DCG images showing drainage into the nasal sinuses. a + b left, c right. The left, dye filled an ethmoidal air cell as well as passing though the nasolacrimal duct
Obstruction of nasolacrimal drainage apparatus results in epiphora and can be primary or secondary, congenital or acquired. Obstruction can occur at canalicular, lacrimal saccular, or nasolacrimal ductal (post-saccular) levels.
Causes of obstruction
Congenital obstruction
- persistence of the membrane at the valve of Hasner, resulting in complete nasolacrimal duct obstruction and dacryocystitis
Acquired obstruction
- primary
- secondary
- trauma: facial fractures
- surgery
- inflammatory diseases e.g. sarcoidosis, granulomatosis with polyangiitis
- neoplasms
- ethmoid mucoceles
- obstruction of the canaliculi includes:
- infections
- skin burns
- drugs for glaucoma
- chemotherapeutic agents e.g. fluorouracil
Siehe auch:
- Saccus lacrimalis
- Dacryocystographie
- Blepharo-Naso-Faziales Syndrom
- Dacryolithiasis
- Stenose des Ductus nasolacrimalis
und weiter:
Assoziationen und Differentialdiagnosen zu Tränengangsobstruktion: