Congenital dacryocystocele associated with intranasal cysts: Diagnosis and management

Ronald G. Shashy, Vikram Durairaj, Jonathan M. Holmes, George G. Hohberger, Dana M. Thompson, Jan L. Kasperbauer*

*Corresponding author for this work

Research output: Contribution to journalArticle

62 Scopus citations

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. Intra. nasal 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.

Original languageEnglish (US)
Pages (from-to)37-40
Number of pages4
JournalLaryngoscope
Volume113
Issue number1
DOIs
StatePublished - Jan 1 2003

Keywords

  • Dacryocystitis
  • Dacryocystocele
  • Lacrimal duct cyst
  • Nasolacrimal duct obstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Shashy, R. G., Durairaj, V., Holmes, J. M., Hohberger, G. G., Thompson, D. M., & Kasperbauer, J. L. (2003). Congenital dacryocystocele associated with intranasal cysts: Diagnosis and management. Laryngoscope, 113(1), 37-40. https://doi.org/10.1097/00005537-200301000-00007