Abstract

Retrograde Air Flow through the Lacrimal Drainage System with Valsalva Maneuver

Highlights

  • Under normal physiologic conditions, the lacrimal excretory system has a series of valves that prevent retrograde flow of fluid and air

  • While performing the Valsalva maneuver, increased intranasal pressure is not transmitted to the nasolacrimal system; trauma, lacrimal surgery, and positive airway pressure can disrupt the normal valve system and allow air to enter the lacrimal system

  • The following information was collected and evaluated after obtaining informed consent from the patients in order to comply to HIPAA

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Summary

Introduction

Background: Under normal physiologic conditions, the lacrimal excretory system has a series of valves that prevent retrograde flow of fluid and air. While performing the Valsalva maneuver, increased intranasal pressure is not transmitted to the nasolacrimal system; trauma, lacrimal surgery, and positive airway pressure can disrupt the normal valve system and allow air to enter the lacrimal system. Methods: A 35-year-old patient presented with complaint of tear duct expansion.

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