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Anatomy of the Lacrimal Drainage System | SNIPS

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Product Description

SNIPS is a new kind of educational course, cutting directly to the information you need to know in a short, visual format. Developed directly from content performance deficiencies from recent ABPS Continuous Certification Exam, these streamlined learning modules feature quick, easily digestible videos on important topics your peers struggled with last year. Take advantage of this great ASPS member benefit or upgrade for CME credits. This course focuses on important topics, in a short, visual Q&A format.

This non-CME module addresses the following questions:

  1. What is the pathway of tears from the puncta to the inferior meatus of the nasal cavity?
  2. Where is the lacrimal sac located in relation to the anterior lacrimal crest?
  3. How does the nasolacrimal duct course within the bony nasolacrimal canal?
  4. Which bony structures are most commonly involved in NOE fractures affecting the lacrimal system?
  5. How is the medial canthal tendon anatomically related to the lacrimal sac?

In naso-orbito-ethmoid (NOE) trauma, injury to the lacrimal drainage system is common but frequently under-recognized. The lacrimal sac lies deep and posterior to the medial canthal tendon, seated within the lacrimal fossa between the anterior lacrimal crest (frontal process of the maxilla) and the posterior lacrimal crest (lacrimal bone). The nasolacrimal duct courses inferiorly, posteriorly, and laterally through the bony nasolacrimal canal to the inferior meatus beneath the inferior turbinate—an oblique pathway with important implications during fracture reduction. Fractures involving the lacrimal bone, frontal process of the maxilla, and maxilla forming the nasolacrimal canal place the lacrimal system at highest risk. Awareness of these relationships is essential during NOE exposure and medial canthal tendon repair to prevent missed lacrimal injury and delayed post-traumatic epiphora.

Intended Audience

This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals.

Learning Objectives

  1. Identify current deficiencies in content coverage for anatomy of the lacrimal drainage system covered on Board exams.
  2. Assess methods to prepare for Board exam certification.
  3. Summarize the latest Board certification requirements in plastic surgery.

Faculty

Ruth Tevlin, MB, BAO, BCh, MRCSI, MD

ABMS Core Competencies

The following ABMS core competencies will be addressed:

• Patient Care and Procedural Skills

• Medical Knowledge

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