title: Congenital dacryocystoceles controlled by nCPAP via nasal mask in a neonate.
abstract: Congenital dacryocystocele is a relatively rare type of nasolacrimal duct obstruction that may induce respiratory distress during the early neonatal period. We encountered a case of bilateral congenital dacryocystoceles with intranasal cysts in a premature infant delivered at 34 weeks of gestation. The patient developed symptoms of respiratory failure immediately after birth, but no ophthalmologic symptoms. Treatment with nasal continuous positive airway pressure via a nasal mask, instead of a nasal prong, effectively relieved the symptoms. Early diagnosis and appropriate treatment are critical for infants with nasal obstruction.
authors.affiliation: Department of Neonatology, Shikoku Medical Center for Children and Adults, Kagawa, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Kuboi
authors.affiliation: Department of Neonatology, Shikoku Medical Center for Children and Adults, Kagawa, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Okazaki
authors.affiliation: Department of Pediatrics, Kagawa University, Kagawa, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Kusaka
authors.affiliation: Department of Otolaryngology, University of Tokushima School of Medicine, Tokushima, Japan.
authors.forename: Aki
authors.initials: A
authors.lastname: Shimada
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000379:methods*; D003937:Diagnosis, Differential; D004724:Endoscopy; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007767:Lacrimal Duct Obstruction / Q000150:complications / Q000151:congenital* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008397:Masks; D009301:Nasolacrimal Duct / Q000002:abnormalities*; D012127:Respiratory Distress Syndrome, Newborn / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
keywords: dacryocystocele; nasal continuous positive airway pressure; nasal mass; upper airway obstruction