Endoscopic Marsupialization of Nasolacrimal Duct Cyst Complicated by Cheek Abscess in Child without Previous Dacryocystitis.
- Author:
Jung Hoon HONG
1
;
Chan Soon PARK
;
Dong Hee LEE
;
Kwang Jae CHO
Author Information
1. Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine, Seoul, Korea. leedh0814@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Nasolacrimal duct;
Cysts;
Endoscopes
- MeSH:
Abscess*;
Cellulitis;
Cheek*;
Child*;
Dacryocystitis*;
Dilatation;
Endoscopes;
Ethmoid Sinus;
Ethmoid Sinusitis;
Humans;
Nasal Cavity;
Nasolacrimal Duct*;
Sinusitis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2004;47(11):1188-1191
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A nasolacrimal duct cyst is an uncommon condition usually treated by ophthalomologists. When there is proximal one-way obstruction at the level of the valve of Rosenmuller or distal obstruction at the level of Hasner's valve, a cystic swelling at the medial canthus or a nasal cyst develops. This occurs because the nasolacrimal duct is surrounded by a bone and it is natural for the expanding cyst to decompress through the soft tissue nasally or at the medial canthus. A triad of 1) cystic medial canthal mass ; 2) nasolacrimal duct dilatation ; and 3) a contiguous nasal cavity mass is diagnostic of nasolacrimal duct cyst on computed tomogram scans. We experienced a case in which the cheek cellulitis as well as the maxillary and ethmoid sinusitis were developed from an infected nasolacrimal duct cyst. This case was developed during the childhood of the patient, who had no history of dacryocystitis or dacryocele. Computed tomogram showed typical findings of the infected nasolacrimal duct cyst expanding to the cheek. After endoscopic marsupialization of the nasolacrimal duct cyst, symptoms and signs of the infected cyst and sinusitis were rapidly resolved. Thus, we report this case with a review of the literature.
