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Laryngoscope. 2003 Jan;113(1):37-40.

Congenital dacryocystocele associated with intranasal cysts: diagnosis and management.

Author information

1
Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.

Erratum in

  • Laryngoscope. 2005 Apr;115(4):759. Durairaj, Vikram [corrected to Durairaj, Vikram D].

Abstract

OBJECTIVE:

To improve the diagnostic and therapeutic database for congenital dacryocystoceles.

STUDY DESIGN/METHODS:

Retrospective case study of 10 patients with dacryocystoceles treated in an academic integrated tertiary care practice. Management and outcomes are compared to previous reports in the literature.

RESULTS:

Between the years 1990 and 2001, 10 patients were diagnosed with dacryocystoceles. Seven were females, and 3 were males. Age ranged from 1 to 75 days. Nine of 10 had a unilateral dacryocystocele, and 1 had bilateral dacryocystoceles. Epiphora was reported in 8 patients. Preoperatively, dacryocystitis, facial cellulitis, or both were present/developed in 2 patients. Symptoms of airway obstruction were present in 3 neonates. Surgery was performed in 9 of 10 patients and was a combined ophthalmology/otolaryngology surgery in 7 cases. Two patients were treated with probing only. Intranasal cysts were identified in all 7 patients who underwent a combined approach. Three of 7 patients had bilateral intranasal cysts. Follow-up ranged from 9 months to 10 years (mean, 5 years). Complete resolution was observed in 9 patients. One patient had postoperative nasolacrimal duct obstruction 2 months postoperatively, presenting with mucopurulent drainage and cellulitis. The existing literature often suggests conservative management as a treatment option.

CONCLUSION:

True dacryocystoceles are a relative rarity. The literature describes a variable natural course of these lesions with resultant controversy in their management. The current results demonstrate successful treatment in 6 of 7 patients with an early combined surgical approach and 2 of 2 patients treated by probing alone. The high failure rate with conservative management, reported in the literature, supports early surgical intervention.

[Indexed for MEDLINE]

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