The authors report a series of 8 children presenting with a congenital nasolacrimal duct cyst and dacryocoele and highlight the importance of endoscopic nasal examination of newborns presenting with respiratory problems. [ncbi.nlm.nih.gov]

The presentation is common early in infancy, typically 4 days to 10 weeks. Infants present with small round bluish medial canthus mass identified at birth or shortly after +/- distal intra-nasal cystic lesion causing nasal obstruction. [radiopaedia.org]

Discussion Presentation of congenital dacryocystocele Congenital dacryocystocele, also known as a dacryocele, often presents shortly after birth. [webeye.ophth.uiowa.edu]

From Wikipedia, the free encyclopedia Jump to navigation Jump to search Nasolacrimal duct cyst Specialty Dermatology Nasolacrimal duct cysts are a cutaneous condition that is a developmental defect present at birth. [1] See also [ edit ] Skin dimple List [en.wikipedia.org]

A 15-day-old girl presented with a history of a mass overlying the right lacrimal sac which had been present since birth. She was referred because her pediatrician noted that the lesion had increased in size and had become erythematous. [healio.com]

• Weight Gain

  Seven RCTs suggested that OMT leads to a significantly greater reduction in the symptoms of asthma, congenital nasolacrimal duct obstruction (post-treatment), daily weight gain and length of hospital stay, dysfunctional voiding, infantile colic, otitis [aetna.com]

• Trisomy 21

  Fig. 12.8 Lacrimal fistula Syndromes and Craniofacial Abnormalities Associated with CNLDO Syndromic associations include Down’s syndrome (trisomy 21), Crouzon syndrome, Treacher Collins syndrome, Klinefelter syndrome, and Rubinstein-Taybi syndrome [ 14 [entokey.com]

• Regurgitation

  On compression of the left lacrimal sac mucoid material regurgitated from the puncta. Lacrimal sac syringing revealed regurgitation of fluid from the opposite punctum and hard stop with probing, suggestive of NLD obstruction. [ijo.in]

  Compression of lacrimal sac area did not show any regurgitation of fluid. There was no history of watering or discharge from the affected eye. Pediatric consultation was unremarkable. Baby was born full term with normal antenatal history. [omjournal.org]

  Regurgitation test results in mucoid reflux with lacrimal massage indicating lower system obstruction. [eyeplastics.com]

  Other signs include increased tear meniscus height, positive fluorescein dye disappearance test (FDDT), and regurgitation on pressure over the lacrimal sac (ROPLAS). [entokey.com]

  Four nasolacrimal ducts were completely obstructed with complete regurgitation of fluid on syringing with worsening of the epiphora. [aetna.com]

• Eruptions

  We conclude that the possibility of ectopic eruption of teeth should be kept in mind while evaluating a case of secondary NLD obstruction. References 1. Bartley GB. [ijo.in]

  Extraction of Erupted Teeth Carrie Klene 11. Impacted Teeth Mary Ann Sabino and Benjaman Brown 12. Canine Exposure Pamela J. Hughes and Shravan Renapurkar 13. Alveoloplasty Stephanie Joy Drew 14. Palatal Torus & Lingual Tori Removal Greg Ness 15. [euro-libris.ro]

• Lacrimation

  The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity. The duct begins in the eye socket between the maxillary and lacrimal bones, from where it passes downwards and backwards. [en.wikipedia.org]

  (Dacryocystocele; Lacrimal Duct Mucocele) Dacryocystocele (lacrimal sac mucocele or amniocele) is defined as dilatation of the lacrimal drainage system from both proximal and distal obstruction of the nasolacrimal duct. [fetalultrasound.com]

  Examination at 5 days of age revealed a blue-tinged mass overlying the left lacrimal sac. Clear mucoid material refluxed from the lacrimal puncta with pressure on the mass. There was no mass overlying the right lacrimal sac. [healio.com]

  Warm compresses, lacrimal massage, probing of lacrimal duct can be performed to facilitate drainage of tears. Role of probing: Probing should be attempted only when other conservative procedures fail. [sites.google.com]

• Excessive Tearing

  The tear drainage system can get infected if it becomes blocked and bacteria collect in the ducts or the lacrimal sac. A blockage near the nose also can cause excessive tearing from the eye. [drugs.com]

  The most common symptoms are If one has a plugged up "tear duct," not only will tears spill over the eyelids and run down the face, but the stagnant tears within the system can become infected. excess tearing (tears might run down the face) and mucous [drjaniceeggert.com]

  The most common symptoms are If one has a plugged up "tear duct," not only will tears spill over the eyelids and run down the face, but the stagnant tears within the system can become infected. excess tearing (tears may possibly run down the face) and [drmarkruchman.com]

  This leads to the excess overflow of tears called epiphora. A congenital obstruction can cause cystic expansion of the duct and is called a dacryocystocele or Timo cyst. [en.wikipedia.org]

  Many babies are born with an underdeveloped tear-duct system, a problem that can lead to tear-duct blockage, excess tearing, and infection. Blocked tear ducts are common in infants; as many as one third may be born with this condition. [kidshealth.org]

• Aniridia

  […] difference in eye size (compare the diameter of the cornea of each eye with a simple desk-top clear ruler) and clouding of the cornea suggest congenital glaucoma which needs urgent ophthalmic assessment. [ 1 ] Other congenital abnormality - eg, albinism or aniridia [patient.info]

• Suggestibility

  Bloody punctual discharge or lacrimal sac distension above the medial canthal tendon is also highly suggestive of neoplasm. [en.wikipedia.org]

  […] peak prevalence in fourth and fifth decades 3:1 predilection for women Sites Nasolabial region of the facial soft tissues Does not involve the underlying bone, therefore nasoalveolar cyst is a misnomer Etiology Unsettled, but two main theories: First suggests [pathologyoutlines.com]

  Lacrimal sac syringing revealed regurgitation of fluid from the opposite punctum and hard stop with probing, suggestive of NLD obstruction. [ijo.in]

  The baby has a chronic problem since shortly after birth with constant tearing, mucoid debris and a couple of episodes of increased debris, suggestive of conjunctivitis. [mhmedical.com]

  Recent reports suggest that the association of neonatal dacryocystitis and NLD cysts may be more common than previously believed. [healio.com]

• Distractibility

  Mandible Distraction in Infancy Jocelyn M. Shand 35. Mandible Distraction for Cranial Conditions Cesar Guerrero 36. The Anterior Segmental Maxillary Osteotomy Dror M. Allon and Neeraj Panchal 37. SARPE Jessica Lee 38. [euro-libris.ro]

• Facial Scar

  This approach to DCR is now commonly performed because it avoids a facial scar, and is generally associated with less pain. The location of the lacrimal sac is known based on extensive anatomic study. [care.american-rhinologic.org]

• Epistaxis

  Some cases present with bloody tears and even epistaxis as in nasal, sinus or lacrimal sac tumours. A thorough past ocular and medical history is in order to evaluate the cause of the disease. [eyeplastics.com]

Neoplasm [ edit ] Neoplasm should be considered in any patient presenting with NLD obstruction.In patients with an atypical presentation, including younger age and male gender, further workup is appropriate. [en.wikipedia.org]

Treatment and prognosis Treatment of dacryocystoceles is graded and ranges from manual pressure to probing with irrigation to endoscopic resection and marsupialization in severe cases. [radiopaedia.org]

Early diagnosis and treatment of this condition is critical in the infant with nasal obstruction. [ncbi.nlm.nih.gov]

Conclusions Microdebrider assisted endoscopic marsupialisation is a safe and effective treatment for removal of excess tissue in the treatment for congenital intranasal NLD cyst/inferior mucocoele whilst also obviating the need for silastic intubation [link.springer.com]

(This prospective, nonrandomized multicenter study of 718 children with congenital nasolacrimal duct obstruction evaluated probing as a primary treatment. Treatment success was found in 78% of eyes. [clinicaladvisor.com]

The first course of treatment is the same as that for babies: dilation, probing and irrigation. [coopervision.com]

Treatment and prognosis Treatment of dacryocystoceles is graded and ranges from manual pressure to probing with irrigation to endoscopic resection and marsupialization in severe cases. [radiopaedia.org]

(Outcomes/Resolutions) Overall, the prognosis of Blocked Tear Duct is very good with appropriate therapy. In infants, usually, the blocked duct gets better by its own. [dovemed.com]

Prognosis : dependent upon primary cause. [vetstream.com]

Prognosis Overall prognosis is excellent. More than 90% of children with these developmental anomalies have improved subjective tearing postoperatively. Moscato EE, Kelly JP, Weiss A. [emedicine.medscape.com]

[…] extraorally Presentation could result in clinical differential diagnosis of odontogenic infection Intraorally, obliterates the mucolabial fold 10% of cysts are bilateral Diagnosis Diagnosis dependent of clinical, radiologic and pathologic correlation Prognosis [pathologyoutlines.com]

Embryology Etiology / Pathogenesis Ultrasound Differential Diagnosis [fetalultrasound.com]

The etiology is obstruction at the level of Hassner's valve. Advanced Procedure 1. Lidocaine with epinephrine pledgelets are placed in the nasal cavity around the nasal mass and inferior turbinate 2. [csurgeries.com]

Acquired lacrimal drainage obstruction: An etiologic classification system, case reports, and a review of the literature. Ophthal Plast Reconstr Surg.1992;8:237-49. 2. Alexandrakis G, Hubbell RN, Aitken PA. [ijo.in]

Pathogenesis Etiology Internal Dacryocystitis Eye: dacryocystitis - inflammation of the nasolacrimal sac and duct often secondary to: Foreign bodies, eg plant material and dust/debris Conjunctivitis: foreign body. [vetstream.com]

Acquired lacrimal drainage obstruction: an etiologic classification system, case reports, and a review of the literature. Part 2. Ophthal Plast Reconstr Surg. 1992. 8(4):243-9. [Medline]. Bartley GB. [emedicine.medscape.com]

In this article, we shall briefly review the epidemiology, clinical presentation and the common causes of this condition. Epidemiology Clinical research has shown that nasolacrimal duct obstruction occurs in 2 to 4 out of 100 newborn babies. [eyeplastics.com]

Definition / general A rare, developmental non-odontogenic cyst that occurs in the soft tissues of the upper lip lateral to midline Terminology Klestadt cyst Nasal alveolar cyst Nasoalveolar cyst Nasal wing cyst Nasal vestibule cyst Mucoid cyst of the nose Epidemiology [pathologyoutlines.com]

Diagnosis: Congenital Dacryocystocele Epidemiology Presents within first several days to weeks of life (median age = 7 days of life)[2] Usually unilateral Signs Elevated purplish mass inferior to medial canthal tendon Epiphora, mattering (generally unilateral [webeye.ophth.uiowa.edu]

Pathophysiology Canalization of the nasolacrimal duct system usually is complete by the eighth month of gestation; problems in this normal developmental process can cause any of the above anomalies. [1] Epidemiology Frequency United States Nasolacrimal [emedicine.medscape.com]

Pathophysiology Stenosis and/or occlusion of the nasolacrimal duct system may occur as an acquired complication of various disease processes within the drainage system or external to it. [vetstream.com]

Pathophysiology Canalization of the nasolacrimal duct system usually is complete by the eighth month of gestation; problems in this normal developmental process can cause any of the above anomalies. [1] Epidemiology Frequency United States Nasolacrimal [emedicine.medscape.com]

Pathophysiology/Statistics Although quite common, the frequency of nasolacrimal drainage obstruction is unknown. It has no racial predilection. PANDO is more commonly seen in middle-aged and elderly females. [eyeplastics.com]

The procedure with the microdebrider was carefully performed to prevent injury to the surrounding tissue. Nasal packing to prevent bleeding was not necessary. [jstage.jst.go.jp]

For the same reason when applying some eye drops it is often advised to close the nasolacrimal duct by pressing it with a finger to prevent the medicine from escaping the eye and having unwanted side effects elsewhere in the body. [en.wikipedia.org]

Role of topical antibiotics: Topical antibiotics can be used to prevent secondary conjunctivitis. Warm compresses, lacrimal massage, probing of lacrimal duct can be performed to facilitate drainage of tears. [sites.google.com]

Blocked Tear Ducts are conditions that cannot be usually prevented. [dovemed.com]

Early treatment of a blocked duct may prevent the need for surgery. [kidshealth.org]