Lueder G T
Department of Ophthalmology and Visual Sciences and Pediatrics, St. Louis Children's Hospital Eye Center, Washington University School of Medicine, Mo., USA.
J Pediatr Ophthalmol Strabismus. 1995 Mar-Apr;32(2):102-6. doi: 10.3928/0191-3913-19950301-10.
Neonatal dacryocystitis is a rare complication of congenital nasolacrimal duct (NLD) obstruction. Recent reports suggest that the association of neonatal dacryocystitis and NLD cysts may be more common than previously believed. The purpose of this study is to describe the nasal endoscopic findings and treatment of three patients with this disorder. In this prospective study, three consecutive patients who presented at 2 weeks of age or less with dacryocystitis were treated with NLD probing and rigid nasal endoscopy. All patients were found to have congenital NLD cysts at the time of NLD probing. The cysts were marsupialized under endoscopic visualization. The treatment was successful in all patients. Dacryocystitis in the early newborn period is commonly associated with NLD cysts. Nasal endoscopic marsupialization of the cysts is an effective adjunct to treatment of these patients.
新生儿泪囊炎是先天性鼻泪管（NLD）阻塞的一种罕见并发症。最近的报告表明，新生儿泪囊炎与NLD囊肿的关联可能比之前认为的更为常见。本研究的目的是描述3例患有该疾病患者的鼻内镜检查结果及治疗情况。在这项前瞻性研究中，对3例2周龄及以下出现泪囊炎的连续患者进行了NLD探查及硬性鼻内镜检查。所有患者在进行NLD探查时均被发现患有先天性NLD囊肿。在内镜直视下对囊肿进行袋形缝合术。所有患者的治疗均获成功。新生儿早期的泪囊炎通常与NLD囊肿有关。囊肿的鼻内镜袋形缝合术是治疗这些患者的一种有效辅助方法。
