Rogister F, Goffart Y, Daele J
B-ENT. 2016;12(1):83-8.
This case study describes three newborns referred to our otolaryngologic service for investigating and treating a cystic dilatation of the lacrimal duct. These dilatations corresponded to unilateral or bilateral dacryocystoceles, with or without complications. The first newborn exhibited respiratory distress at birth and received early surgery and endoscopic marsupialization of intranasal and bilateral cysts. The second newborn did not show any signs of complications, and after conservative treatment for a week, the cyst spontaneously resolved. The third newborn was diagnosed in utero with ultrasonography, and the cyst resolved spontaneously during childbirth. These cases provided an opportunity to review the pathophysiology of this rare congenital lacrimal anomaly and to note responses to different therapeutic approaches. Indeed, these three cases illustrated three different management approaches, and allowed us to address the issue of prenatal diagnosis.
本病例研究描述了三名因泪道囊性扩张而转诊至我们耳鼻喉科进行检查和治疗的新生儿。这些扩张对应于单侧或双侧泪囊膨出，伴有或不伴有并发症。第一名新生儿出生时出现呼吸窘迫，接受了早期手术以及鼻内双侧囊肿的内镜袋形术。第二名新生儿未表现出任何并发症迹象，经过一周的保守治疗后，囊肿自行消退。第三名新生儿在子宫内通过超声检查确诊，囊肿在分娩过程中自行消退。这些病例为回顾这种罕见先天性泪道异常的病理生理学以及注意不同治疗方法的反应提供了机会。事实上，这三个病例说明了三种不同的处理方法，并使我们能够探讨产前诊断问题。
