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December 1995

Respiratory Distress in the Neonate: Sequela of a Congenital Dacryocystocele

Author Affiliations

From the Division of Otolaryngology, University of California—San Diego Medical Center (Dr Hepler); Division of Otolaryngology, University of Tennessee, Memphis (Dr Woodson); and Children's Hospital, San Diego (Dr Kearns).

Arch Otolaryngol Head Neck Surg. 1995;121(12):1423-1425. doi:10.1001/archotol.1995.01890120079016

Congenital dacryocystoceles presenting with intranasal extension may precipitate respiratory distress in neonates. Twenty-one children have been described as having congenital dacryocystoceles with intranasal extension, and, of these, 14 had respiratory distress. We present a series of patients with congenital dacryocystoceles who presented with ranging degrees of respiratory distress. Magnetic resonance imaging and computed tomographic scans confirmed the diagnosis. In all cases, the endonasal portion of the cyst was marsupialized endoscopically with complete resolution of symptoms. Pertinent embryology, anatomy, clinical presentation, and treatment are discussed. (Arch Otolaryngol Head Neck Surg. 1995;121:1423-1425)