Did you mean: dacyrocystocele
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Ophthalmic Plastic and Reconstructive... 2019To provide a systematic review of the literature on congenital dacryocystoceles (CDCs) and summarize their presentations, investigations, management, and outcomes. (Review)
Review
PURPOSE
To provide a systematic review of the literature on congenital dacryocystoceles (CDCs) and summarize their presentations, investigations, management, and outcomes.
METHODS
The authors performed a PubMed search of all articles published in English on CDCs. Data captured include demographics, clinical presentations, investigations, management modalities, complications, and outcomes. Fourteen major series (10 or more than 10 cases) and 89 isolated case reports/series on CDCs with a collective patient pool of 1,063 were studied in detail. Specific emphasis was laid on addressing the controversial issues including initial conservative versus surgical management and the role of endoscopic evaluation.
RESULTS
Numerous terminologies have been used to describe CDC. Congenital dacryocystoceles are rare variants of congenital nasolacrimal duct obstructions and comprise of 0.1% to 0.3% of all such cases. There is a female predilection (64.2%, 683/1,063) and the mean age at presentation is at 7 days of birth. Initial conservative treatment can be a viable option in the absence of an acute dacryocystitis or a respiratory distress. Endoscopy-assisted probing appears to have better outcomes as compared with the in-office probing. Congenital dacryocystoceles with acute dacryocystitis are preferably managed with intravenous antibiotics and an early probing under endoscopy guidance to avoid missing intranasal cysts. Marsupialization is the preferred technique in the management of intranasal cysts. Silicone intubation was rarely used and has no definitive indications. Dacryocystorhinostomy is very rarely needed in the management of CDC.
CONCLUSIONS
Congenital dacryocystocele is a commonly accepted term and its use should be advocated to enhance uniformity in reporting. Endoscopic evaluation of CDC is useful in the diagnosis and treatment of associated intranasal cysts and enhances the rates of successful outcomes.
Topics: Cysts; Endoscopy; Humans; Lacrimal Apparatus Diseases; Nasolacrimal Duct
PubMed: 30601463
DOI: 10.1097/IOP.0000000000001297 -
Journal of Pediatric Ophthalmology and... 2021
Topics: Cysts; Eye Abnormalities; Humans; Lacrimal Apparatus Diseases; Lacrimal Duct Obstruction
PubMed: 34039168
DOI: 10.3928/01913913-20210330-01 -
Journal of Pediatric Ophthalmology and... May 2023Congenital dacryocystocele presents with a distinct bluish swelling in the medial canthal region in neonates. The authors present four illustrative cases with differing... (Review)
Review
Congenital dacryocystocele presents with a distinct bluish swelling in the medial canthal region in neonates. The authors present four illustrative cases with differing courses and a literature review on dacryocystocele management to raise awareness of the importance of prompt diagnosis, initiation of conservative management, and appropriate referral for surgical assessment. .
Topics: Infant, Newborn; Humans; Lacrimal Duct Obstruction; Cysts; Lacrimal Apparatus; Conservative Treatment
PubMed: 37227990
DOI: 10.3928/01913913-20230320-01 -
Pakistan Journal of Medical Sciences 2023Congenital Dacryocystocele is a rare disease of the eye and nose, which originates from congenital obstruction of lacrimal duct system, but accounts for a low proportion...
Congenital Dacryocystocele is a rare disease of the eye and nose, which originates from congenital obstruction of lacrimal duct system, but accounts for a low proportion in congenital obstruction of lacrimal duct system. We present a case of congenital dacryocystocele to analyze the clinical features and to explore the clinical treatment effect of special congenital dacryocyst protrusion.
PubMed: 36950401
DOI: 10.12669/pjms.39.2.6819 -
European Annals of Otorhinolaryngology,... Feb 2019Newborns are obligatory nasal breathers. Therefore, nasal obstruction can lead to cyanosis and desaturation. In spite of being very rare, congenital bilateral...
INTRODUCTION
Newborns are obligatory nasal breathers. Therefore, nasal obstruction can lead to cyanosis and desaturation. In spite of being very rare, congenital bilateral dacryocystocele is a possible etiology for neonatal respiratory distress.
CASE SUMMARY
Case report of a male newborn with respiratory distress caused by a bilateral polypoid and bluish lesion occupying almost the entire inferior nasal meatus. Imaging confirmed bilateral dacryocystocele. Treatment was conservative. There was spontaneous drainage, with relief of respiratory distress. Discussion The diagnosis of congenital dacryocystocele is clinical, although imaging exams may be requested to confirm it. Treatment is controversial, because the natural history is variable. An initial conservative management may be recommended, but, if there is a permanent respiratory obstruction without improvement, surgical management is mandatory.
Topics: Anti-Bacterial Agents; Conservative Treatment; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Male; Massage; Mucocele; Nasal Obstruction; Nose Diseases; Respiratory Distress Syndrome, Newborn
PubMed: 30337239
DOI: 10.1016/j.anorl.2017.10.006 -
Journal of Clinical Ultrasound : JCU Oct 2021Congenital dacryocystocele (CD) is a rare disorder about which little is known. A nonsystematic review was performed with an addition of four new cases. Thirty-seven... (Review)
Review
Congenital dacryocystocele (CD) is a rare disorder about which little is known. A nonsystematic review was performed with an addition of four new cases. Thirty-seven studies were reviewed. The mean gestational age at evaluation was 32 ± 1.09 weeks suggesting that CD is a disorder of late second and third trimester. The mean diameter of dacryocystocele was 7.5 ± 1 mm. The overall associated fetal anomaly rate was 10.7%. In-utero resolution, neonatal resolution, and surgical management was concluded in 62% (n = 108), 29% (n = 52), and 8% (n = 14), respectively. In conclusion, the need for surgical correction and rate of accompanying fetal anomaly was found high.
Topics: Cysts; Female; Gestational Age; Humans; Infant, Newborn; Lacrimal Duct Obstruction; Pregnancy; Pregnancy Trimester, Third; Ultrasonography, Prenatal
PubMed: 34235752
DOI: 10.1002/jcu.23037 -
BMJ Case Reports Dec 2016
Topics: Cysts; Diagnosis, Differential; Humans; Infant, Newborn; Lacrimal Apparatus Diseases; Magnetic Resonance Imaging; Nasolacrimal Duct
PubMed: 27941115
DOI: 10.1136/bcr-2016-218029 -
Clinical Ophthalmology (Auckland, N.Z.) 2020Dacryocystocele can be congenital or acquired and acute or chronic, based on underlying pathology. An inferomedial anterior orbital mass lesion can masquerade an...
INTRODUCTION
Dacryocystocele can be congenital or acquired and acute or chronic, based on underlying pathology. An inferomedial anterior orbital mass lesion can masquerade an acquired dacryocystocele with similar symptomatology; however, the treatment varies. Hence, a careful examination of the swelling to differentiate these masquerades is needed to ensure rightful treatment.
PATIENTS AND METHODS
A retrospective, interventional study was performed on consecutive patients from January 2017 to October 2019 who presented with swelling in the lacrimal sac area of varying durations. They underwent computed tomography scans followed by surgical intervention. Their relation to the lacrimal drainage apparatus was explored.
RESULTS
During the study period, 5 such patients were found in the records. The radiology was consistent with anterior orbital mass lesions, not involving the lacrimal sac. Histopathology after surgical excision was consistent with three of the lesions being dermoid cysts, one was cavernous hemangioma and one was a solitary fibrous tumor.
CONCLUSION
Inferomedial anterior orbital mass lesions can present as masquerades of acquired dacrycystoceles. Careful examination and high degree of suspicion is needed to distinguish these lesions and ensure correct treatment.
PubMed: 32753833
DOI: 10.2147/OPTH.S261098 -
Ophthalmic Plastic and Reconstructive...
Topics: Canaliculitis; Cysts; Humans; Lacrimal Duct Obstruction; Scotoma
PubMed: 32732538
DOI: 10.1097/IOP.0000000000001761 -
Journal of Pediatric Ophthalmology and... 2024Bosma arhinia microphthalmia syndrome (BAMS) is a rare syndrome consisting of several craniofacial abnormalities, including congenital arhinia. In this case report, the... (Review)
Review
Bosma arhinia microphthalmia syndrome (BAMS) is a rare syndrome consisting of several craniofacial abnormalities, including congenital arhinia. In this case report, the authors present the first case of a patient with BAMS and dacryocystocele who successfully underwent dacryocystectomy. Dacryocystectomy may serve as a viable surgical approach for dacryocystocele in patients with abnormal nasal anatomy. .
Topics: Humans; Choanal Atresia; Nose; Microphthalmos; Eye Abnormalities; Abnormalities, Multiple; Lacrimal Duct Obstruction
PubMed: 38529747
DOI: 10.3928/01913913-20240208-01