Bilateral congenital dacryocystocoeles with concurrent intranasal mucocoeles causing respiratory distress in a neonate.
Congenital dacryocystocoeles are uncommon, presenting as a fluctuant bluish mass inferior to the medial canthus. Even more rarely, these dacryocystocoeles are complicated by intranasal extension. We present a case of a newborn infant with bilateral dacryocystocoeles with intranasal extension (intranasal mucocoeles) causing respiratory distress and feeding difficulties. Prompt surgical correction was performed, with the mucocoeles being de-roofed, leading to the resolution of the dacryocystocoeles. The aetiology, clinical features, and therapeutic options are discussed.
Yohendran
Jayshan
J
Department of Otolaryngology, The Children's Hospital at Westmead, Westmead, New South Wales, Australia. jay@gmp.usyd.edu
Wignall
Andrew C
AC
Beckenham
Edward J
EJ
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007766:Lacrimal Apparatus Diseases / Q000151:congenital*; D009078:Mucocele / Q000150:complications / Q000151:congenital*; D009668:Nose Diseases / Q000150:complications / Q000151:congenital*; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology*