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Atypical Case of Epiphora Related to Hypoplastic Maxillary Sinus with Right Sided Deflected Nasal Septum (DNS) Masquerading as Chronic Sinusitis: Case Report

Hypoplasia of maxillary sinus is a rare condition and that too when present on one side. This may remain asymptomatic but can present with some complaints related to overlying infective or mitotic pathologies. Sometimes it is only because of the associated complications which makes the person to report to the hospital. The diagnosis with the problems is delineated and confirmed only after the patient undergoes cross sectional imaging studies. Case presentation: We present 11-years old male child who reported with the complaints of right nasal block, facial pain and flowing of tears from right eye of one-month duration. He had also obvious deformity of the nasal septum. These complaints were of progressive in nature which was unbearable now at the time of presentation. He underwent computerized tomography (CT) and dacrocystography (DCG) for the evaluation. The investigations confirmed the hypoplastic right maxillary sinus with superadded inflammation that had blocked the ipsilateral nasolacrimal duct. The child had been planned for dacrocysto-rhinostomy for the management as probing had failed for removing the obstruction. Conclusion: Epiphora may be related to the underlying some congenital anomaly of the sinus rather than simply maxillary sinusitis. Cross sectional imaging unveils the underlying factors and is the guide for further management.