Open AccessEndoscopic Marsupialization of Congenital Nasolacrimal Duct Cysts
Author(s) -
Dogan Ersoy,
Yaman Aylin,
Berk Ayse T.,
Ecevit Mustafa Cenk,
Yuksel Nesibe G.,
Sutay Semih
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811415823a396
Subject(s) - marsupialization , medicine , nasolacrimal duct , nasal administration , surgery , choanal atresia , respiratory distress , nose , cyst , lacrimal sac , dacryocystitis , mucocele , nasal cavity , atresia , immunology
Objective Provide information on the clinical characteristics and management of an uncommon congenital nasolacrimal duct anomaly with intranasal cysts. Method Three cases of intranasal nasolacrimal duct cysts are presented with a brief literature review. Patients were presented from 2007 to 2010. Diagnosis was made by clinical observation and endoscopic examination with a search for a cyst in the inferior meatus. The intranasal cysts were successfully treated with nasal endoscopic marsupialization. Results We report 3 cases of congenital nasolacrimal duct anomaly with intranasal extension presenting as intranasal cystic masses. The first case is a 60 days old child presented with bilateral intranasal cystic masses that caused nasal obstruction and respiratory distress. The second case is a 1‐year‐old child presented with congenital dacryocystocele and coexisting ipsilateral intranasal cyst explored by nasal endoscopy. The last case is a 6 days old newborn presented with respiratory distress and found to have bilateral choanal atresia and left side intranasal cyst. All 3 cases were treated with nasal endoscopic marsupialization. All children with intranasal cysts were cured. Conclusion Because the extension of nasolacrimal cysts into the nose may lead to respiratory distress and difficulty in feeding, nasal examination must be performed to exclude coexistence of nasolacrimal cysts. Endoscopic marsupialization is a safe and curative treatment. Both ophthalmologist and otorhinolaryngologist should be involved in the diagnosis and management.