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The opening of the nasolacrimal duct into the inferior nasal meatus of the nasal cavity is partially covered by a mucosal fold (valve of Hasner or plica lacrimalis). [ 3 ] Excess tears flow through the nasolacrimal duct which drains into the inferior nasal meatus.
The frontonasal duct is a duct through which either frontal sinus drains into the nasal cavity. [2] [3] Each frontal sinus opens into the frontonasal duct by an opening (the opening of frontal sinus or frontal sinus aperture [4]) on the inferomedial part [3] of the floor of the sinus. [4]
The inferior meatus is the largest of the three. It lies below the inferior concha and above the nasal cavity. It extends most of the length of the nasal cavity’s lateral wall. It is broader in the front than at the back, and presents anteriorly the lower orifice of the nasolacrimal canal.
Nasolacrimal duct obstruction is the obstruction of the nasolacrimal ducts (better known as the tear ducts) and may be either congenital or acquired. Obstruction of the nasolacrimal ducts leads to the excess overflow of tears called epiphora .
The lacrimal sac or lachrymal sac [1] is the upper dilated end of the nasolacrimal duct, [2] and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It connects the lacrimal canaliculi , which drain tears from the eye's surface, and the nasolacrimal duct , which conveys this fluid into the nasal cavity. [ 3 ]
On the nasal surface of the body of the maxilla, in front of the opening of the sinus is a deep groove, the lacrimal groove (or lacrimal sulcus), which is converted into the nasolacrimal canal, by the lacrimal bone and inferior nasal concha; this canal opens into the inferior meatus of the nose and transmits the nasolacrimal duct.
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The fluid then flows through the nasolacrimal duct and into the nasopharynx. This drainage results in what is commonly referred to a runny nose during excessive crying or tear production. Injury or fracture of the lacrimal bone can result in posttraumatic obstruction of the lacrimal pathways. [1] [2]