Management and complications of congenital dacryocele with concurrent intranasal mucocele

Paysse, Evelyn A.; Coats, David K.; Bernstein, Joseph; Go, Cindy; Jong, A.L. de

doi:10.1016/s1091-8531(00)90011-9

Cited by 83 publications

(87 citation statements)

References 25 publications

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“…In the presented case, there was no sign of lacrimal sac mucocele except for respiratory distress. Still very rare cases without canthal mass or epiphora have been reported [4,23]. About half of lacrimal sac mucoceles are bilateral, in 70% of which, signs of respiratory distress are observed [2,16,24].…”

Section: Discussionmentioning

confidence: 99%

Lacrimal Sac Mucocele in a Newborn: A Rare Mimic of Congenital Intranasal Tumor

Günlemez¹,

Öncel²

2015

J Clin Case Rep

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Lacrimal sac mucocele, either unilateral or bilateral, occurs when the nasolacrimal duct is obstructed and is a rare anomaly in the newborn period. We presented 1 day old full-term female baby with respiratory distress. She was referred by her primary care provider for an otolaryngologic assesment with the suspicion of choanal atresia. In her nasal endoscopy, a mass with a mucosal lining was filling the right nasal cavity. Ultrasonography showed a submucosal tumorous lesion in the right nasal cavity and MRI demonstrated a unilateal lacrimal sac mucocele. In this case report, it is stressed that lacrimal sac mucocele may manifest only with intranasal mass in the newborn period; which can be misdiagnosed as a tumor. MRI is a valuable tool in its capacity to delineate many details in mucocele and may prevent unnecessary biopsies and other surgical procedures.

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Section: Discussionmentioning

confidence: 99%

Lacrimal Sac Mucocele in a Newborn: A Rare Mimic of Congenital Intranasal Tumor

Günlemez¹,

Öncel²

2015

J Clin Case Rep

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“…(23)(24)(25) Lacrimal probing is recommended when conservative treatment is ineffective or when the child presents severe infection or respiratory distress. (26,27) According to the literature, early probing can prevent infections and sequelae (tissue distortion in the inner canthus, induction of corneal astigmatism, and anisometropic amblyopia). (28) In the presence of an intranasal cyst, the child can be referred to an otolaryngologist for cyst marsupialisation.…”

Section: Discussionmentioning

confidence: 99%

Congenital dacryocystocele: case report and treatment

Lorena¹,

Gonçalves²,

Silva³

2014

Revista Brasileira De Oftalmologia

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The dacryocystocele represents a rare congenital anomaly in the medial region of the orbit caused by distal obstruction (Hasner valve) and proximal (valve Rosenmüller) RESUMOA dacriocistocele representa uma rara anomalia congênita da região medial da órbita, causada pela obstrução distal (ao nível da válvula de Hasner) e proximal (ao nível da válvula de Rosenmüller) da via lacrimal, com subsequente dilatação do saco lacrimal. Recebe o nome de mucocele, quando seu conteúdo representa muco, ou amniocele, quando o seu conteúdo é preenchido por fluido amniótico. Acomete somente 0.1% das crianças, com obstrução do ducto lácrimonasal, sendo comumente unilateral e mais frequente no sexo feminino e com predisposição familiar. O diagnóstico é realizado pelas características clínicas: lesão cística tensa, abaixo do tendão cantal medial, de coloração azulacinzentada, rósea ou vermelha acompanhada por epífora desde o nascimento. No entanto podemos utilizar exames de imagem para diagnosticar esta anomalia congênita tais como: tomografia computadorizada, ressonância magnética e ultrassonografia.Descritores: Obstrução dos ductos lacrimais/congênito; Obstrução dos ductos lacrimais/diagnóstico; Obstrução dos ductos lacrimais/terapia; Obstrução dos ductos lacrimais/ultrassonografia; Cisto epidérmico; Cisto dermóide; Relatos de casos

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“…CT and MRI are also helpful in differentiating a dacryocystocele from a medial canthal mass. [17] Intubation dacryocystography is also a useful method to investigate the lacrimal drainage system in infants. It can be performed under topical anesthesia in the examination room.…”

Section: Discussionmentioning

confidence: 99%

Comparison of endonasal dacryocystorhinostomy (DCR) versus endocanalicular diode laser DCR for the treatment of nasolacrimal duct obstruction

Acar¹

2014

J Med Updates

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ÖzetAmaç: Nazolakrimal kanal obstrüksiyonunun tedavisi olarak dakriyosistorinostomi (DSR) genellikle endonazal yoldan gerçeklefltirilmek-tedir. Bu retrospektif çal›flmada endonazal DSR ile endokanaliküler diyot lazer DSR'nin anatomik ve fonksiyonel baflar› oranlar›n› karfl›-laflt›rd›k.Yöntem: Endonazal DSR grubunda 53 (Grup 1) ve endokanaliküler diyot lazer grubunda (Grup 2) 47 hastan›n t›bbi kay›tlar› preoperatif enjeksiyon ve prob uygulamalar›, cerrahi ayr›nt›lar, sonuçlar ve komplikasyonlar›n de¤erlendirmesi aç›s›ndan incelendi. Bulgular: Grup 1'de 8 ve Grup 2'de 6 hastada nüks gözlemlendi. ‹ki grup aras›nda nüks oranlar› farkl›l›k göstermesine karfl›n bu farkl›l›k istatistiksel aç›dan anlaml› de¤ildi (p>0.05). Grup 1'deki komplikasyonlar 8 sinefli ve 1 tüp protrüzyonu, Grup 2'de ise 2 sinefli, 2 tüp protrüzyonu ve 2 punktal atrofi olgusunu içermekteydi. Alerji, konka hipertrofisi ve septum deviasyonu nüks ve komplikasyon oranlar›n› anlaml› derecede art›rmam›flt› (p>0.05). Grup 1'de kanama ve a¤r› anlaml› derecede daha s›k gözlenmifl olmas›na ra¤men Grup 2'de hasta konforu anlaml› derecede daha iyi idi (p<0.05).Sonuç: Daha iyi postoperatif konfor, daha k›sa iyileflme süresi ve daha az postoperatif a¤r›ya neden olmas› sayesinde endokanaliküler diyot lazer DSR'nin endonazal DSR cerrahisine göre daha iyi bir alternatif oldu¤u saptanm›flt›r.Anahtar sözcükler: Komplikasyon, dakriyosistorinostomi, diyot lazeri, endokanaliküler, endonazal. AbstractObjective: Dacryocystorhinostomy (DCR), the treatment for nasolacrimal duct obstruction, is generally performed endonasally. In this retrospective study, we compared the anatomical and functional success rate of endonasal DCR with endocanalicular diode laser DCR.Methods: Medical records of 53 patients in endonasal DCR group (Group 1) and 47 in endocanalicular diode laser DCR group (Group 2) were analyzed for preoperative syringing and probing evaluations as well as surgical details, outcomes and complications.Results: Recurrence was observed in eight patients in Group 1 and six in Group 2. Although the recurrence rates differed between the two groups, this difference was not statistically significant (p>0.05). The complications in Group 1 included eight cases of synechia and one tube protrusion, whereas the complications in Group 2 included two cases of synechia, two tube protrusions and two punctum atrophies. The presence of allergy, concha hypertrophy and septum deviation did not significantly increase the rates of recurrence or complications (p>0.05). Bleeding and pain were observed significantly more frequently in Group 1 and the patient comfort was significantly better in Group 2 (p<0.05).Conclusion: Endocanalicular diode laser DCR was found to be a good alternative to endonasal DCR surgery thanks to better postoperative comfort, shorter healing time and less postoperative pain.

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Management and complications of congenital dacryocele with concurrent intranasal mucocele

Cited by 83 publications

References 25 publications

Lacrimal Sac Mucocele in a Newborn: A Rare Mimic of Congenital Intranasal Tumor

Lacrimal Sac Mucocele in a Newborn: A Rare Mimic of Congenital Intranasal Tumor

Congenital dacryocystocele: case report and treatment

Comparison of endonasal dacryocystorhinostomy (DCR) versus endocanalicular diode laser DCR for the treatment of nasolacrimal duct obstruction

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