Related Experiment Videos
Congenital nasolacrimal duct cysts in dacryocystocele
T R Grin1, J S Mertz, M Stass-Isern
1Children's Mercy Hospital, Section of Ophthalmology, Kansas City, KS.
Insights
Congenital dacryocystocele can cause cystic intranasal masses, leading to nasal obstruction and respiratory distress in newborns. Prompt diagnosis and endoscopic treatment of these nasolacrimal duct cysts are crucial for infant well-being.
Area of Science:
- Otolaryngology
- Pediatric Ophthalmology
- Neonatology
Background:
- Congenital dacryocystocele is a common condition in newborns.
- Intranasal masses associated with congenital dacryocystocele are rarely reported.
Observation:
- Seven newborn infants with congenital dacryocystocele presented with cystic intranasal masses.
- These cysts were extensions of the nasolacrimal duct, located inferior to the turbinate.
- Three infants experienced nasal obstruction, with two showing respiratory distress due to bilateral cysts.
Findings:
- Fiberoptic nasal endoscopy revealed the cysts.
- Treatment involving probing, irrigation, and marsupialization was successful in all seven infants.
- This anomaly may be more prevalent in congenital dacryocystocele than previously understood.
Implications:
- A thorough nasal examination is recommended for all infants diagnosed with congenital dacryocystocele.
- Early diagnosis and intervention for these intranasal cysts are critical, especially in cases of nasal obstruction.
- This finding highlights a potentially underrecognized cause of neonatal respiratory distress.
Abstract:
Cystic intranasal masses were found in seven newborn infants with congenital dacryocystocele. The cysts were a direct extension of the nasolacrimal duct, located beneath the inferior turbinate. Nasal obstruction was present in three infants and was severe enough to cause respiratory distress in two neonates with bilateral cysts. Using fiberoptic nasal endoscopy, treatment consisting of probing, irrigation, and marsupialization of the cysts was successful in all infants. The authors believe this rarely reported anomaly is a more common finding in dacryocystocele than previously recognized and advocate careful nasal examination in all infants with congenital dacryocystocele. Early diagnosis and treatment of this condition is critical in the infant with nasal obstruction.