Congenital dacryocystocele with intranasal extension.
OBJECTIVE
Congenital dacryocystocele is a rare anomaly in the newborn child. The swelling of lachrymal sac is observed by birth and it is associated with obstruction of lachrymal system either above or below lachrymal sac.


METHODS
Diagnosis was made by clinical observation. Some ancillary examinations, such as ultrasonography, tomography, and rhinoscopy, were useful.


RESULTS
The authors describe the clinical case of a newborn with a unilateral congenital dacryocystocele. This anomaly was successfully treated with probing and marsupialization of the nasal cyst.


CONCLUSIONS
Treatment of this congenital anomaly is by light compressive massage, probing with silicone intubation of lachrymal system to assure prolonged permeability of the system, or with marsupialization of the nasal cyst. In some cases with intranasal extension of dacryocystocele, collaboration with an otolaryngologist may be necessary.
Teixeira
C C
CC
Department of Ophthalmology, Hospital de S João Hospital, Porto - Portugal. ccg.teixeira@netcabo.pt
Dias
R J
RJ
Falcão-Reis
F M
FM
Santos
M
M
D003560:Cysts; D004724:Endoscopy / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D007440:Intubation / Q000379:methods; D007766:Lacrimal Apparatus Diseases / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D009078:Mucocele / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D009301:Nasolacrimal Duct / Q000000981:diagnostic imaging / Q000473:pathology; D012826:Silicone Elastomers; D014057:Tomography, X-Ray Computed
D012826:Silicone Elastomers