Hepler K M, Woodson G E, Kearns D B
Division of Otolaryngology, University of California-San Diego Medical Center, USA.
Arch Otolaryngol Head Neck Surg. 1995 Dec;121(12):1423-5. doi: 10.1001/archotol.1995.01890120079016.
Congenital dacryocystoceles presenting with intranasal extension may precipitate respiratory distress in neonates. Twenty-one children have been described as having congenital dacryocystoceles with intranasal extension, and, of these, 14 had respiratory distress. We present a series of patients with congenital dacryocystoceles who presented with ranging degrees of respiratory distress. Magnetic resonance imaging and computed tomographic scans confirmed the diagnosis. In all cases, the endonasal portion of the cyst was marsupialized endoscopically with complete resolution of symptoms. Pertinent embryology, anatomy, clinical presentation, and treatment are discussed.
伴有鼻内扩展的先天性泪囊膨出可能会导致新生儿呼吸窘迫。已有21例儿童被描述为患有伴有鼻内扩展的先天性泪囊膨出，其中14例出现呼吸窘迫。我们报告了一系列伴有不同程度呼吸窘迫的先天性泪囊膨出患者。磁共振成像和计算机断层扫描证实了诊断。在所有病例中，通过鼻内镜对囊肿的鼻内部分进行袋形缝合，症状完全缓解。本文讨论了相关的胚胎学、解剖学、临床表现及治疗方法。
