Bilateral dacryocystoceles as a rare cause of neonatal respiratory distress: report of 2 cases.
Although obstruction of the nasolacrimal duct is a fairly common finding in newborns, development of a dacryocystocele (nasolacrimal duct cyst) is uncommon. Bilateral dacryocystoceles that expand intranasally and cause respiratory distress in the newborn are rarer still. We present 2 cases of bilateral dacryocystoceles that caused neonatal respiratory compromise. Our first patient, a newborn girl, was managed successfully with probing of the nasolacrimal ducts and endoscopic marsupialization of the cysts. Our second patient, a newborn boy, responded well to conservative treatment with a nasal decongestant, lacrimal sac massage, and warm compresses. While bilateral dacryocystoceles are rare, they should be considered in cases of neonatal respiratory distress and concomitant nasal obstruction.
Department of Emergency Medicine, University of British Columbia Faculty of Medicine, Vancouver, BC, Canada.
Mélanie
M
Lecavalier
Lily H
LH
Nguyen
D003560:Cysts / Q000150:complications* / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007767:Lacrimal Duct Obstruction / Q000209:etiology*; D008297:Male; D015508:Nasal Obstruction / Q000209:etiology*; D009301:Nasolacrimal Duct; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology*