Righi P D, Hubbell R N, Lawlor P P
Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Int J Pediatr Otorhinolaryngol. 1993 Mar;26(2):199-203. doi: 10.1016/0165-5876(93)90028-2.
Nasolacrimal duct system cysts with intranasal extension is a rarely reported cause of respiratory distress in the newborn. Nine often previously reported patients have demonstrated a paranasal mass on examination. Most of these patients have been female and most have required surgical intervention to relieve the obstruction. We present a case of a male newborn with bilateral NLDS cysts with intranasal extension causing respiratory distress, and no evidence of paranasal mass on examination. Nasal endoscopy is essential in the work-up of all patients with nasal obstruction and respiratory distress. The MRI scan was used in the diagnostic work-up to further evaluate the condition. The NLDS cysts with nasal extension resolved spontaneously.
鼻泪管系统囊肿伴鼻内延伸是新生儿呼吸窘迫的一种罕见病因。先前报道的9例患者在检查时均显示有鼻旁肿物。这些患者大多为女性，且大多数需要手术干预以解除梗阻。我们报告一例男性新生儿，双侧鼻泪管系统囊肿伴鼻内延伸导致呼吸窘迫，检查时未发现鼻旁肿物。鼻内镜检查对于所有鼻塞和呼吸窘迫患者的检查至关重要。MRI扫描用于诊断检查以进一步评估病情。鼻内延伸的鼻泪管系统囊肿自行消退。
