title: [Congenital dacryocystocele: Surgical treatment or routine follow-up?].
abstract: BACKGROUND
  Congenital dacryocystoceles are rare and often misunderstood pathologies. Their treatment varies and consists in simple follow-up, lacrimal catheterization or endoscopic surgical drainage, depending on medical teams. The aim of our study was to discuss the place of endoscopic drainage in the treatment of congenital dacryocystocele.
  
  
  METHODS
  We conducted a retrospective review on 18 cases of congenital dacryocystoceles taken in charge in a tertiary care center between 2009 and 2012.
  
  
  RESULTS
  Thirteen newborns, including five bilateral cases, were taken in charge. The average age was 14.6 days. Six newborns presented with an acute dacryocystitis at the time of diagnosis. No respiratory complications were observed. Spontaneous drainage of the dacryocystocele was observed in 38.8% of the cases, occurring at 22 days of life on average. Endonasal endoscopic drainage was performed in 66.6% of the cases. No recurrence or complication was observed after surgery. After spontaneous drainage, one recurrence was observed. The mean follow-up period of these patients was 8.8 months.
  
  
  CONCLUSIONS
  Spontaneous drainage is common. Conservative management may therefore be considered in absence of infection. In case of infection and/or persistence of dacryocystocele after 4 weeks of life, endonasal surgical drainage should be considered. Imaging of the facial structure should be performed before any surgical treatment.
authors.affiliation: Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, hôpital Michallon, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France. Electronic address: ahitter@chu-grenoble.fr.
authors.forename: A
authors.initials: A
authors.lastname: Hitter
authors.affiliation: Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, hôpital Michallon, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France.
authors.forename: E
authors.initials: E
authors.lastname: Lamblin
authors.affiliation: Service de chirurgie plastique et maxillo-faciale, hôpital Michallon, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France.
authors.forename: B
authors.initials: B
authors.lastname: Morand
authors.affiliation: Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, hôpital Michallon, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France.
authors.forename: A
authors.initials: A
authors.lastname: Bertolo
authors.affiliation: Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, hôpital Michallon, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France.
authors.forename: I
authors.initials: I
authors.lastname: Atallah
authors.affiliation: Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, hôpital Michallon, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, France; Laboratoire Inserm U 578, institut Albert-Bonniot, rond point de la Chantourne, 38706 La Tronche cedex, France.
authors.forename: C A
authors.initials: CA
authors.lastname: Righini
mesh_terms: D003607:Dacryocystitis / Q000151:congenital* / Q000601:surgery / Q000628:therapy*; D004724:Endoscopy; D015817:Eye Infections / Q000151:congenital / Q000209:etiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007765:Lacrimal Apparatus / Q000473:pathology / Q000601:surgery; D008297:Male; D009078:Mucocele / Q000151:congenital* / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D057832:Watchful Waiting
keywords: Chirurgie endoscopique; Endoscopic surgery; Kyste lacrymal; Lacrimal cyst; Lacrimal duct obstruction; Obstruction du canal lacrymal