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  • Perinatal/Neonatal Case Presentation
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Perinatal/Neonatal Case Presentation

An Unusual Cause of Neonatal Respiratory Distress

Abstract

Nasal cysts representing cystic extension of the nasolacrimal duct are a rare cause of nasal obstruction and respiratory distress in neonates. A medial canthal mass, epiphora, dacryocystitis or preseptal/orbital cellulitis are the usual presenting symptoms; however, this case shows that patients may present with eye findings so minimal as to be overlooked.

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References

  1. Helper KM, Woodson GE, Kearns DB . Respiratory distress in the neonate. Sequela of a congenital dacryocystocele. Arch Otolaryngol Head Neck Surg 1995;121:1423–1425.

    Article  Google Scholar 

  2. Paysee EA, Coats DK, Bernstein JM, Go C, de Jong AL . Management and complications of congenital dacryocele with concurrent intranasal mucocele. J Aapos: Am Assoc Pediatr Ophthalmol Strabismus 2000;4:46–53.

    Article  Google Scholar 

  3. Righi PD, Hubbell RN, Lawlor PP . Respiratory distress associated with bilateral nasolacrimal duct cysts. Int J Pediatr Otorhinolaryngol 1993;26:199–203.

    Article  CAS  Google Scholar 

  4. Sevel D . Development and congenital abnormalities of the nasal lacrimal apparatus. J Pediatr Ophthalmol Strabismus 1981;18:9–13.

    Google Scholar 

  5. Cassady JV . Developmental anatomy of the nasolacrimal duct. Arch Ophthalmol 1952;47:141–158.

    Article  CAS  Google Scholar 

  6. Rand PK, Ball WS, Kulwin DR . Congenital nasolacrimal mucoceles: CT evaluation. Radiology 1989;173:691–694.

    Article  CAS  Google Scholar 

  7. Schnall BM, Christian CJ . Conservative treatment of congenital dacryocele. J Pediatr Ophthalmol Strabismus 1996;33:219–221.

    CAS  PubMed  Google Scholar 

  8. Harris GJ, DiClementi D . Congenital dacryocystocele. Arch Ophthalmol 1982;100:1763–1765.

    Article  CAS  Google Scholar 

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Acknowledgements

We thank Dr. Mark Shane, Longmont, CO, for referring this patient and Drs. Keith Cavenaugh and Frank Accurso for performing the bronchoscopy.

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Varnell, H., Friedman, N., Shea, C. et al. An Unusual Cause of Neonatal Respiratory Distress. J Perinatol 23, 688–690 (2003). https://doi.org/10.1038/sj.jp.7210988

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  • DOI: https://doi.org/10.1038/sj.jp.7210988

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