Grin T R, Mertz J S, Stass-Isern M
Children's Mercy Hospital, Section of Ophthalmology, Kansas City, KS.
Ophthalmology. 1991 Aug;98(8):1238-42. doi: 10.1016/s0161-6420(91)32149-3.
Cystic intranasal masses were found in seven newborn infants with congenital dacryocystocele. The cysts were a direct extension of the nasolacrimal duct, located beneath the inferior turbinate. Nasal obstruction was present in three infants and was severe enough to cause respiratory distress in two neonates with bilateral cysts. Using fiberoptic nasal endoscopy, treatment consisting of probing, irrigation, and marsupialization of the cysts was successful in all infants. The authors believe this rarely reported anomaly is a more common finding in dacryocystocele than previously recognized and advocate careful nasal examination in all infants with congenital dacryocystocele. Early diagnosis and treatment of this condition is critical in the infant with nasal obstruction.
在7例患有先天性泪囊膨出的新生儿中发现了囊性鼻内肿物。这些囊肿是鼻泪管的直接延伸，位于下鼻甲下方。3例婴儿出现鼻塞，其中2例双侧囊肿的新生儿鼻塞严重到足以引起呼吸窘迫。通过纤维鼻内镜检查，对所有婴儿采用囊肿探查、冲洗和袋形缝合术治疗均获成功。作者认为，这种鲜有报道的异常情况在泪囊膨出中比之前认识到的更为常见，并主张对所有患有先天性泪囊膨出的婴儿进行仔细的鼻腔检查。对于有鼻塞的婴儿，早期诊断和治疗这种情况至关重要。
