Congenital dacryocystoceles controlled by nCPAP via nasal mask in a neonate

• Published in: Pediatrics international Vol. 57; no. 3; pp. 475 - 477
• Main Authors: Kuboi, Toru, Okazaki, Kaoru, Kusaka, Takashi, Shimada, Aki
• Format: Journal Article
• Language: English
• Published: Australia Blackwell Publishing Ltd 01.06.2015
• Subjects: Babies; Congenital diseases; Continuous Positive Airway Pressure - methods; dacryocystocele; Diagnosis, Differential; Endoscopy; Humans; Infant, Newborn; Infant, Premature; Lacrimal Duct Obstruction - complications; Lacrimal Duct Obstruction - congenital; Lacrimal Duct Obstruction - therapy; Magnetic Resonance Imaging; Male; Masks; nasal continuous positive airway pressure; nasal mass; Nasolacrimal Duct - abnormalities; Pediatrics; Premature birth; Respiratory Distress Syndrome, Newborn - diagnosis; Respiratory Distress Syndrome, Newborn - etiology; Respiratory Distress Syndrome, Newborn - therapy; Tomography, X-Ray Computed; upper airway obstruction; nasal mass; dacryocystocele; upper airway obstruction; nasal continuous positive airway pressure
• ISSN: 1328-8067; 1442-200X; 1442-200X
• DOI: 10.1111/ped.12516

Congenital dacryocystocele is a relatively rare type of nasolacrimal duct obstruction that may induce respiratory distress during the early neonatal period. We encountered a case of bilateral congenital dacryocystoceles with intranasal cysts in a premature infant delivered at 34 weeks of gestation. The patient developed symptoms of respiratory failure immediately after birth, but no ophthalmologic symptoms. Treatment with nasal continuous positive airway pressure via a nasal mask, instead of a nasal prong, effectively relieved the symptoms. Early diagnosis and appropriate treatment are critical for infants with nasal obstruction.