Britto Fernanda Carneiro Corujeira de, Rosier Vitor Veloso, Luz Tovar Vicente, Verde Raquel Crisóstomo Lima, Lima Clara Mônica Figueiredo de, Lessa Marcus Miranda
Department of Otolaryngology, Hospital Universitário Professor Edgard Santos-Universidade Federal da Bahia (HUPES-UFBA), Salvador, BA, Brazil.
Department of Otolaryngology, Endoscopic Sinus Surgery, HUPES-UFBA, Salvador, BA, Brazil.
Int Arch Otorhinolaryngol. 2015 Jan;19(1):96-8. doi: 10.1055/s-0034-1366978. Epub 2014 Feb 13.
Introduction Mucoceles are benign expansive cystic formations, composed of a mucus-secreting epithelium (respiratory or pseudostratified epithelium). Nasolacrimal mucocele occurs in a small proportion of children with nasolacrimal duct obstruction and is characterized by a cystic mass in the medial canthus with dilation of the nasolacrimal duct; although dacryocystoceles are rare in adults, they have been reported in patients with trachoma. Objective Discuss clinical aspects, diagnosis, and therapeutic management of mucocele of nasolacrimal duct based on literature review. Resumed Report The authors report a case of bilateral congenital nasolacrimal duct cysts in a 30-year-old man, identified as a tumor in the topography of both lacrimal sacs since birth without associated symptoms. The patient underwent successive surgical treatments, leading to recurrence of the tumor at the right side and recurrent local infections. Conclusion Endoscopic dacryocystorhinostomy has been increasingly used with good results and success rates similar to the external access.
黏液囊肿是由分泌黏液的上皮（呼吸道或假复层上皮）构成的良性扩张性囊性结构。鼻泪管黏液囊肿在一小部分鼻泪管阻塞的儿童中出现，其特征为内眦部的囊性肿物伴鼻泪管扩张；泪囊囊肿在成人中罕见，但在沙眼患者中已有报道。目的：基于文献综述探讨鼻泪管黏液囊肿的临床特点、诊断及治疗处理。病例报告：作者报告一例30岁男性双侧先天性鼻泪管囊肿病例，自出生起在双侧泪囊部位被认定为肿物，无相关症状。患者接受了多次手术治疗，导致右侧肿物复发及局部反复感染。结论：内镜下泪囊鼻腔造口术的应用日益增多，效果良好，成功率与外部入路相似。
