Congenital bilateral dacryocystocele.
Cyanosis
Dacryocystocele
Nasal endoscopy
Neonatal respiratory obstruction
Journal
European annals of otorhinolaryngology, head and neck diseases
ISSN: 1879-730X
Titre abrégé: Eur Ann Otorhinolaryngol Head Neck Dis
Pays: France
ID NLM: 101531465
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
15
05
2017
revised:
27
09
2017
accepted:
03
10
2017
pubmed:
20
10
2018
medline:
31
7
2019
entrez:
20
10
2018
Statut:
ppublish
Résumé
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 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.
Identifiants
pubmed: 30337239
pii: S1879-7296(18)30159-5
doi: 10.1016/j.anorl.2017.10.006
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
41-42Informations de copyright
Copyright © 2018 Elsevier Masson SAS. All rights reserved.