Recurrent Dacryocystitis and Lacrimocutaneous Fistula Caused by a Retained Griffiths' Collar Button Stent

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dc.contributor.authorComez, Arzu Taskiran
dc.contributor.authorGuclu, Oguz
dc.contributor.authorGencer, Baran
dc.contributor.authorKara, Selcuk
dc.contributor.authorTufan, Hasan Ali
dc.date.accessioned2025-01-27T21:19:42Z
dc.date.available2025-01-27T21:19:42Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractA 42-year-old man presented with a white plastic-like material exposed in the left medial canthal area, with a fistula and purulent discharge. He had undergone endonasal dacryocystorhinostomy 7 years earlier for left eye epiphora; he had persistent postoperative epiphora and recurrent dacryocystitis despite multiple drainage attempts and antibiotics elsewhere. Computed tomography showed bilateral enlarged cystic lacrimal sacs, with a well-defined contoured tunnel-like hole at the center of the left sac. Treatment included excision of the foreign body, which was a Griffiths' collar button nasolacrimal stent, excision of the fistula tract, and revision dacryocystorhinostomy with implantation of bicanalicular silicone stent. He recovered with no further symptoms or complications. This case highlights the importance of follow-up for removal of an implanted Griffiths' stent after dacryocystorhinostomy. Patients with recurrent dacryocystitis may benefit from a detailed history of previous surgery, careful examination, and imaging to evaluate for endogenous and exogenous foreign bodies such as lacrimal sac calculi, and retained lacrimal sac stents.
dc.identifier.doi10.3109/01676830.2013.853805
dc.identifier.endpage144
dc.identifier.issn0167-6830
dc.identifier.issn1744-5108
dc.identifier.issue2
dc.identifier.pmid24206106
dc.identifier.scopus2-s2.0-84896772950
dc.identifier.scopusqualityQ3
dc.identifier.startpage142
dc.identifier.urihttps://doi.org/10.3109/01676830.2013.853805
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28713
dc.identifier.volume33
dc.identifier.wosWOS:000415531500013
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Inc
dc.relation.ispartofOrbit-An International Journal on Orbital Disorders and Facial Reconstructive Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectDacryocystitis
dc.subjectepiphora
dc.subjectfistula
dc.subjectforeign body
dc.subjectlacrimal sac
dc.titleRecurrent Dacryocystitis and Lacrimocutaneous Fistula Caused by a Retained Griffiths' Collar Button Stent
dc.typeArticle

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