Teymoortash A, Hesse L, Werner J A, Lippert B M
Department of Otolaryngology, Head and Neck Surgery, Philipps University of Marburg, Germany.
Rhinology. 2004 Mar;42(1):41-4.
Newborns with respiratory distress and nasal obstruction must be examined for congenital dacryocystocele. This disease is caused by a stenosis in the proximal and distal area of the nasolacrimal duct and leads to a cystic dilatation of this duct. A case of a newborn with bilateral dacryocystocele and dyspnoea is presented. The otorhinolaryngologic as well as the paediatric examination could only reveal in the rhinoscopic examination a tumor of the left nasal cavity that partly obstructed the endonasal space. No other pathologic findings were detected. To clarify the origin and the localization of the tumor as well as to exclude an intracranial relation, a magnetic resonance imaging of the middle face and the frontal skull base was performed. After probe and rinsing of the lacrimal ducts the symptoms improved rapidly. In newborns with nasal obstruction a bilateral rhinoscopy of the lower nasal meatus is required to exclude the existence of a dacryocystocele.
患有呼吸窘迫和鼻阻塞的新生儿必须接受先天性泪囊膨出的检查。这种疾病是由鼻泪管近端和远端狭窄引起的，并导致该导管的囊性扩张。本文介绍了一例患有双侧泪囊膨出和呼吸困难的新生儿病例。耳鼻喉科以及儿科检查仅在鼻镜检查中发现左鼻腔有一个肿瘤，该肿瘤部分阻塞了鼻内空间。未发现其他病理结果。为了明确肿瘤的起源和定位以及排除颅内关系，对中面部和额颅底进行了磁共振成像检查。在对泪道进行探查和冲洗后，症状迅速改善。对于患有鼻阻塞的新生儿，需要对下鼻道进行双侧鼻镜检查以排除泪囊膨出的存在。
