OJPed  Vol.2 No.2 , June 2012
Bilateral congenital dacryocystoceles with intranasal mucoceles in the neonate: Case report and review of literature
Abstract: Congenital dacryocystoceles with intranasal mucoceles are an uncommon entity. The overwhelming majority of reported cases are unilateral in nature. We present a rare case of a neonate with bilateral congenital dacryocystoceles with intranasal mucoceles. Management of dacryocystoceles includes medical and surgical treatment. Literature review revealed 186 reported cases of congenital dacryocystoceles with 82 associated with intranasal mucoceles. Prevalence rates ranged between 11% to 100%. Our case highlights the importance of nasal endoscopy in the work up and identification given the high prevalence rate of intranasal mucocele component in patients with congenital dacryocystoceles.
Cite this paper: Wong, K. , Jachens, A. , Bortz, J. and Moscatello, A. (2012) Bilateral congenital dacryocystoceles with intranasal mucoceles in the neonate: Case report and review of literature. Open Journal of Pediatrics, 2, 178-180. doi: 10.4236/ojped.2012.22030.

[1]   Silverman, S. (1933) Microphthalmos with congenital defect of the lacrimal apparatus. British Journal of Ophthalmology, 17, 333-351. doi:10.1136/bjo.17.6.351

[2]   Levin, A.V., Wygnanski-Jaffe, T., Forte, V., et al. (2003) Nasal endoscopy in the treatment of congenital lacrimal sac mucoceles. International Journal of Pediatric Otorhinolaryngology, 67, 255-261. doi:10.1016/S0165-5876(02)00379-8

[3]   Shashy, R.G., Durairaj, V.D., Holmes, J.M., et al. (2003) Congenital dacryocystocele associated with intranasal cysts: diagnosis and management. Laryngoscope, 113, 37-40. doi:10.1097/00005537-200301000-00007

[4]   Teymoortash, A., Hesse, L., Werner, J.A., et al. (2004) Bilateral congenital dacryocystocele as a cause of respiratory dis-tress in a newborn. Rhinology, 42, 41-44.

[5]   Paysse, E.A., Coats, D.K., Bernstein, J.M., et al. (2000) Management and complications of congenital dacryocele with concurrent intranasal mucocele. Journal of AAPOS, 4, 46-53. doi:10.1016/S1091-8531(00)90011-9

[6]   Schnall, B.M. and Christian, C.J. (1996) Conservative treatment of congenital dacryocele. Journal of Pediatric Ophthalmology & Strabismus, 33, 219-222.

[7]   Cunningham, M.J. (2006) Endoscopic management of pediatric nasolacrimal anomalies. Otolaryngologic Clinics of North America, 39, 1059-1074. doi:10.1016/j.otc.2006.07.004

[8]   Wong, R.K. and VanderVeen, D.K. (2008) Presentation and management of congenital dacryocystocele. Pediatrics, 122, e1108-e1112. doi:10.1542/peds.2008-0934

[9]   Shekunov, J., Griepentrog, G.J., Diehl, N.N., et al. (2010) Prevalence and clinical characteristics of congenital dacryocystocele. Journal of AAPOS, 14, 417-420. doi:10.1016/j.jaapos.2010.07.006

[10]   Hain, M., Bawnik, Y., Warman, M., et al. (2011) Neonatal dacryocele with endonasal cyst: Revisiting the management. American Journal of Otolaryngology, 32, 152-155. doi:10.1016/j.amjoto.2009.11.009

[11]   Mansour, A.M., Cheng, K.P., Mumma, J.V., et al. (1991) Congenital dacryocele: A collaborative review. Ophthalmol, 98, 1744-1751.

[12]   Cavazza, S., Laffi, G.L., Lodi, L., et al. (2008) Congenital dacryocystocele: Diagnosis and treatment. Acta Otorhinolaryngologica Italica, 28, 298-301.

[13]   Thomas, S.A., Drack, A.V., Sands, R.E., et al. (2000) Clinical and histopathologic features of congenital dacryocysto-celes associated with intranasal cysts. Journal of AAPOS, 4, 46-63.