Lacrimal injury is very uncommon after osteotomy in rhinoplasty. We present 2 cases of lacrimal injury after osteotomy in rhinoplasty and present the steps to managing such an injury. These cases were finally treated with endoscopic dacryocystorhinostomy. We concluded that osteotomies must be at least 3 mm from the medial canthus or medial to the line from the medial canthus to the alar base. Also, it is recommended that osteotome blades be sharpened before each osteotomy.
From the *ENT Department, Ordibehesht Hospital, Isfahan, Iran; and
†Private Practice, Isfahan, Iran.
Received June 10, 2018, and accepted for publication, after revision August 20, 2018.
Conflicts of interest and sources of funding: none declared.
Reprints: Masoud Jafaripour, MD, No 19., Makan Medical Complex, Police Cross Rd, Tohid St, Isfahan, Iran. E-mail: firstname.lastname@example.org.