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BRIEF COMMUNICATION
Year : 2009  |  Volume : 57  |  Issue : 6  |  Page : 465-467

A rare cause of nasolacrimal duct obstruction: Dentigerous cyst in the maxillary sinus


Department of Ophthalmology and ENT, Khudiram Bose Sarani, R.G. Kar Medical College & Hospital, Kolkata, India

Correspondence Address:
Biswarup Ray
Purbayan, 909 Purbachal Main Road, Block-E, Flat No-304, Kolkata - 700 078
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.57161

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The most common abnormality of the lacrimal drainage system is congenital or acquired nasolacrimal duct obstruction. The causes of acquired nasolacrimal duct obstruction may be primary or secondary. The secondary acquired obstructions may result from infection, inflammation, neoplasm, trauma or mechanical causes. The maxillary sinus cysts usually obstruct the nasolacrimal duct mechanically. Dentigerous cysts are one of the main types of maxillary cysts. These cysts are benign odontogenic cysts which are associated with the crowns of unerupted teeth. The clinical documentations of mechanical nasolacrimal duct obstructions due to a dentigerous cyst in the maxillary sinus are very rare in literature. In this case report, we describe a dentigerous cyst with a supernumerary tooth in the maxillary sinus in an 11-year-old male child causing an obstruction to the nasolacrimal duct. The case was successfully managed surgically by Caldwell Luc approach.


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