{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:54:32Z","timestamp":1780084472023,"version":"3.54.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,17]],"date-time":"2022-09-17T00:00:00Z","timestamp":1663372800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,17]],"date-time":"2022-09-17T00:00:00Z","timestamp":1663372800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Nasolacrimal duct obstruction (NDO) is a common pathology preventing the proper drainage of the tears, and its main symptom is epiphora. Secondary acquired nasolacrimal duct obstruction (SANDO) can be due to a variety of causes including infection, trauma, or neoplasms. It has been reported to occur with different forms of maxillofacial trauma, especially Le Fort II, Le Fort III, naso-orbital-ethmoidal, and orbital floor fractures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 20-year-old Egyptian female presented to correct a facial disharmony due to a cleft lip and palate defect. The patient reported a history of congenital NDO and had deficient lateral nasal walls. Bimaxillary surgery was planned, including a Le Fort I osteotomy for the maxilla and bilateral sagittal split osteotomy for the mandible. The surgery was uneventful, but the patient complained from bloody tears or hemolacria few days postoperatively. This complication began to cease spontaneously after 2\u2009days and completely recovered after 4\u2009days.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Hemolacria is an infrequent finding after maxillofacial surgeries and may be associated with CLP surgeries more than other surgeries. In this case, it was easily managed, and surgeons should be more aware of it to try to prevent its occurrence.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40902-022-00359-1","type":"journal-article","created":{"date-parts":[[2022,9,17]],"date-time":"2022-09-17T16:18:44Z","timestamp":1663431524000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A rare complication of hemolacria after Le fort I osteotomy: a case presentation"],"prefix":"10.1186","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3908-1621","authenticated-orcid":false,"given":"May S.","family":"Helal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramy M.","family":"Gaber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwa","family":"El-Kassaby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,17]]},"reference":[{"key":"359_CR1","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1016\/B978-1-4160-6231-8.10096-0","volume-title":"Brocklehurst\u2019s textbook of geriatric medicine and gerontology","author":"SE Brodie","year":"2010","unstructured":"Brodie SE (2010) Chapter 96 - aging and disorders of the eye. In: Fillit HM, Rockwood K, Woodhouse K (eds) Brocklehurst\u2019s textbook of geriatric medicine and gerontology, 7th edn. W.B. Saunders, Philadelphia, pp 810\u2013821","edition":"7"},{"key":"359_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-55643-2","volume-title":"The human nasolacrimal ducts","author":"F Paulsen","year":"2003","unstructured":"Paulsen F (2003) The human nasolacrimal ducts. Springer-Verlag Berlin, Heidelberg"},{"key":"359_CR3","unstructured":"Anatomy, head and neck, eye nasolacrimal. StatPearls Publishing 2022"},{"issue":"2","key":"359_CR4","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.joms.2009.12.031","volume":"69","author":"CC Humber","year":"2011","unstructured":"Humber CC, Lanigan DT, Hohn FI (2011) Retrograde hemorrhage (hemolacria) from the lacrimal puncta after a Le fort I osteotomy: a report of 2 cases and a review of the literature. J Oral Maxillofac Surg 69(2):520\u2013527","journal-title":"J Oral Maxillofac Surg"},{"issue":"4","key":"359_CR5","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1097\/00002341-199212000-00001","volume":"8","author":"GB Bartley","year":"1992","unstructured":"Bartley GB (1992) Acquired lacrimal drainage obstruction: an etiologic classification system, case reports, and a review of the literature. Part 1. Ophthalmic Plast Reconstr Surg 8(4):237\u2013242","journal-title":"Ophthalmic Plast Reconstr Surg"},{"issue":"4","key":"359_CR6","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/S1010-5182(05)80393-2","volume":"20","author":"J Zapala","year":"1992","unstructured":"Zapala J, Bartkowski AM, Bartkowski SB (1992) Lacrimal drainage system obstruction: management and results obtained in 70 patients. J Craniomaxillofac Surg 20(4):178\u2013183","journal-title":"J Craniomaxillofac Surg"},{"key":"359_CR7","unstructured":"Mansukhani S. Congenital nasolacrimal duct obstruction. [Internet] Pediatric Oncall. Available through https:\/\/www.pediatriconcall.com\/articles\/pediatric-ophthalmology\/congenital-nasolacrimal-duct-obstruction\/congenital-nasolacrimal-duct-obstruction-introduction. Accessed June 2022."},{"key":"359_CR8","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/978-981-10-5616-1_33","volume-title":"Atlas of lacrimal drainage disorders","author":"MJ Ali","year":"2018","unstructured":"Ali MJ (2018) Syndromic and systemic associations of congenital lacrimal drainage anomalies. In: Ali MJ (ed) Atlas of lacrimal drainage disorders. Springer Singapore, Singapore, pp 293\u2013301"},{"key":"359_CR9","unstructured":"Worak S, Bengzon A (2018) Nasolacrimal duct obstruction and epiphora. Medscape [Available from: https:\/\/emedicine.medscape.com\/article\/1210141-overview"},{"issue":"8","key":"359_CR10","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1016\/S0161-6420(86)33620-0","volume":"93","author":"JV Linberg","year":"1986","unstructured":"Linberg JV, McCormick SA (1986) Primary acquired nasolacrimal duct obstruction. A clinicopathologic report and biopsy technique. Ophthalmology 93(8):1055\u20131063","journal-title":"Ophthalmology"},{"issue":"1","key":"359_CR11","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.ajoms.2011.10.002","volume":"25","author":"BR Chrcanovic","year":"2013","unstructured":"Chrcanovic BR, Nunes FCF, Freire-Maia B (2013) Bloody tears after miniplate osteosynthesis for Le fort I osteotomy. 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A copy of the written consent is available for review by the editor-in-chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"29"}}