Respiratory distress associated with bilateral nasolacrimal duct cysts.
Nasolacrimal duct system cysts with intranasal extension is a rarely reported cause of respiratory distress in the newborn. Nine often previously reported patients have demonstrated a paranasal mass on examination. Most of these patients have been female and most have required surgical intervention to relieve the obstruction. We present a case of a male newborn with bilateral NLDS cysts with intranasal extension causing respiratory distress, and no evidence of paranasal mass on examination. Nasal endoscopy is essential in the work-up of all patients with nasal obstruction and respiratory distress. The MRI scan was used in the diagnostic work-up to further evaluate the condition. The NLDS cysts with nasal extension resolved spontaneously.
Righi
P D
PD
Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Hubbell
R N
RN
Lawlor
P P
PP
D003560:Cysts / Q000150:complications* / Q000151:congenital* / Q000000981:diagnostic imaging; D006801:Humans; D007231:Infant, Newborn; D007766:Lacrimal Apparatus Diseases / Q000150:complications / Q000151:congenital / Q000000981:diagnostic imaging; D008297:Male; D009301:Nasolacrimal Duct / Q000000981:diagnostic imaging; D011859:Radiography; D012131:Respiratory Insufficiency / Q000209:etiology*