Adult Nasolacrimal Duct Mucocele

Yip, Chee Chew; McCulley, Timothy J.; Kersten, Robert C.; Bowen, Adam T.; Alam, Suhail; Kulwin, Dwight R.

doi:10.1001/archopht.121.7.1065

Cited by 13 publications

(8 citation statements)

References 3 publications

(5 reference statements)

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“…A common complication is dacryocystitis due to secondary infection of the sac, which was present in all patients of two earlier case series (three and 21 patients) 4 5. To our knowledge, there are four documented cases of idiopathic acquired dacryocystocele associated only with epiphora without accompanying dacryocystitis 1–3 6. Differential diagnoses include lacrimal sac tumour, lacrimal sac diverticula, dermoid cyst, meningocele, encephalocele, dermoid, haemangioma, glioma and ethmoid or maxillary sinus mucocele.…”

Section: Discussionmentioning

confidence: 89%

Idiopathic acquired dacryocystocele treated with endonasal endoscopic dacryocystorhinostomy

et al. 2013

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A 64-year-old woman presented with a medial canthal mass in her left eye, which was accompanied only by mild epiphora. There was no history of dacryocystitis, bloody tears, midfacial trauma or surgery. Physical examination showed a non-inflammatory, subcutaneous, immobile mass below the level of the medial canthal tendon. Lacrimal irrigation demonstrated blockage at the nasolacrimal duct. A CT revealed a non-enhancing, low density, cystic lesion in the inferomedial aspect of the left orbit without bony erosion, which was compatible with an idiopathic acquired dacryocystocele. The patient underwent endonasal endoscopic dacryocystorhinostomy (DCR) and silicone intubation. Epiphora resolved immediately after surgery. Two years after surgery, the patient has had no recurrence of either the epiphora or the orbital. Idiopathic acquired dacryocystocele associated only with epiphora without accompanying dacryocystitis although rare should be considered in the differential diagnosis of acquired non-inflammatory medial canthal masses. Endonasal endoscopic DCR represents a safe and effective treatment.

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Section: Discussionmentioning

confidence: 89%

Idiopathic acquired dacryocystocele treated with endonasal endoscopic dacryocystorhinostomy

et al. 2013

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“…To the best of our knowledge, this is the first reported case of 'dacryocele' in an adult. Literature reviews show various treatment options of dacryocystoceles: conservative management and drainage followed by external or endoscopic dacryoystorhinostomy, combined with or without bicanalicular intubation or dacryocystectomy [1][2][3][4][5] .…”

Section: Discussionmentioning

confidence: 99%

Dacryocele in an adult presenting as facial cellulitis

Kansakar

Sundar

2019

Grande Med. J.

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A 47-year-old man presented with severe pain and erythema in the region of the left medial canthal area extending to the angle of the mouth for one week. On questioning, he gave a history of watering for more than 30 years.Physical examination showed non-axial superotemporal proptosis of the left globe. Palpation revealed a diffuse, tender, firm, irreducible mass in the inferomedial aspect of the left orbit, below the medial canthal tendon. Ocular motility was Dacryocele in an adult presenting as facial cellulitis ABSTRACTA 47-year-old male presented with left sided facial cellulitis of one-week duration associated with a painful mass over the left medial canthal area. On examination, there was a firm, tender mass below the medial canthal tendon. Computed tomography scan revealed a bulky, cystic lesion at the left inferomedial orbit and medial maxilla with bony remodeling suggestive of a chronic dacryocele. The patient underwent marsupialization of the dacryocele at the inferior meatus with silicone tube intubation. His symptoms of epiphora resolved after surgery.We describe a rare clinical presentation of dacryocele in an adult and its simple, yet effective treatment option.

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“…The incidence of neonatal dacryocele with endonasal cyst is 0.08% in healthy neonates . Dacryocystocele rarely occurs in adults in an acquired form . Adult acquired dacryocystocele can be idiopathic or a complication of chronic dacryocystitis, trauma, or neoplasia .…”

Section: Discussionmentioning

confidence: 99%

“…Acquired nasolacrimal duct obstructions are common in adult dogs and are often associated with dacryocystitis due to foreign‐body obstruction or infection . Less frequently, extraluminal lesions may be neoplastic, cystic, traumatic (maxillary and lacrimal bone fractures), or inflammatory in origin when the nasal sinuses may impinge on the nasolacrimal duct. Canalicular cysts or canaliculoceles may result from the progression of congenital canalicular ectasia .…”

Section: Introductionmentioning

confidence: 99%

Acquired canaliculocele with intranasal extension in a dog

Durieux

Libermann

Rattez

et al. 2013

Veterinary Ophthalmology

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To describe a case of a nasolacrimal canaliculocele with intranasal extension in a dog. A 6-year-old neutered female Jack Russell Terrier was referred to the Centre Hospitalier V et erinaire des Cordeliers for a slowly enlarging mass adjacent to the medial canthus of the right eye of 5 months duration. Ophthalmic exam, ultrasound, fine needle aspiration, dacryocystorhinography and computerized tomography examinations were performed. Rhinoendoscopic treatment with marsupialisation of the endonasal canaliculocele was performed. Physical examination revealed a 3 cm diameter, subcutaneous mass beneath the medial canthus of the right eye, with a defect in the maxillary bone below. Dacryocystorhinography demonstrated blockage at the level of the nasolacrimal duct. Fine needle aspiration confirmed the cavitary nature of the lesion. During rhinoendoscopy, a mass containing watery fluid was found. Following marsupialisation with a large mass wall resection, the lacrimal drainage system irrigated freely in the nasal chamber. The communication of the lumen of the diverticulum with the lumen of the superior but not the inferior canaliculus was clearly demonstrated during endoscopy. Given negative immunohistochemical staining for smooth muscle actin and desmin, nasolacrimal dacryocele appears to be the most likely diagnosis. Histological examination confirmed that no goblet cells were present in the wall of the diverticulum, which is consistent with the canaliculus rather than the lacrimal sac. Complete resolution was observed without recurrence one year after surgery. Despite its rarity, a canaliculocele should be considered in adult dogs with nasolacrimal duct obstruction. Marsupialisation seems to be the appropriate therapy.

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Adult Nasolacrimal Duct Mucocele

Cited by 13 publications

References 3 publications

Idiopathic acquired dacryocystocele treated with endonasal endoscopic dacryocystorhinostomy

Idiopathic acquired dacryocystocele treated with endonasal endoscopic dacryocystorhinostomy

Dacryocele in an adult presenting as facial cellulitis

Acquired canaliculocele with intranasal extension in a dog

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