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Updated: Aug 9, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
Published on: October 13, 2017
Bilateral congenital dacryocystocoeles with concurrent intranasal mucocoeles causing respiratory distress in a
Jayshan Yohendran1, Andrew C Wignall, Edward J Beckenham
1Department of Otolaryngology, The Children's Hospital at Westmead, Westmead, New South Wales, Australia. jay@gmp.usyd.edu
Abstract:
Congenital dacryocystocoeles are uncommon, presenting as a fluctuant bluish mass inferior to the medial canthus. Even more rarely, these dacryocystocoeles are complicated by intranasal extension. We present a case of a newborn infant with bilateral dacryocystocoeles with intranasal extension (intranasal mucocoeles) causing respiratory distress and feeding difficulties. Prompt surgical correction was performed, with the mucocoeles being de-roofed, leading to the resolution of the dacryocystocoeles. The aetiology, clinical features, and therapeutic options are discussed.
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