Carneiro de Sousa Pedro, Neves Marta, Duarte Delfim, Azevedo Paula
Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos Otorhinolaryngology, Travessa do Padre Amaro, number 169/229, Matosinhos 4455-033, Portugal.
Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos Otorhinolaryngology, Travessa do Padre Amaro, number 169/229, Matosinhos 4455-033, Portugal.
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Feb;136(1):41-42. doi: 10.1016/j.anorl.2017.10.006. Epub 2018 Oct 15.
Newborns are obligatory nasal breathers. Therefore, nasal obstruction can lead to cyanosis and desaturation. In spite of being very rare, congenital bilateral dacryocystocele is a possible etiology for neonatal respiratory distress.
Case report of a male newborn with respiratory distress caused by a bilateral polypoid and bluish lesion occupying almost the entire inferior nasal meatus. Imaging confirmed bilateral dacryocystocele. Treatment was conservative. There was spontaneous drainage, with relief of respiratory distress. Discussion The diagnosis of congenital dacryocystocele is clinical, although imaging exams may be requested to confirm it. Treatment is controversial, because the natural history is variable. An initial conservative management may be recommended, but, if there is a permanent respiratory obstruction without improvement, surgical management is mandatory.
新生儿是 obligatory 经鼻呼吸者。因此，鼻阻塞可导致青紫和血氧饱和度降低。尽管先天性双侧泪囊膨出非常罕见，但它是新生儿呼吸窘迫的一种可能病因。
一名男性新生儿因双侧息肉样、蓝色病变几乎占据整个下鼻道而出现呼吸窘迫的病例报告。影像学检查证实为双侧泪囊膨出。治疗是保守的。有自发引流，呼吸窘迫缓解。讨论先天性泪囊膨出的诊断是临床诊断，尽管可能需要影像学检查来确诊。治疗存在争议，因为其自然病程是可变的。可能建议初始进行保守治疗，但如果存在永久性呼吸阻塞且无改善，则必须进行手术治疗。
