Hetal Marfatia, Swapna Patil and Pankaj Goyal*
Department of Otorhinolaryngology & Head-Neck Surgery, Seth G.S. Medical College and KEM Hospital, IndiaFulltext PDF
Objective: To study the presentation, complications, and treatment protocols for infants with congenital dacryocystocele.
Patients and Methods: We performed a retrospective study of all infants presenting with dacryocystoceles to our tertiary centre between the years of 2014 to 2019.
Results: Fourteen infants and newborns with dacryocystocele were identified (10 males, 4 females); median age of presentation was 28 days. Nine of fourteen patients presented with dacryocystocele, four responded to conservative treatment, five of them underwent forced syringing three patients responded while two were subjected to probing and failing which they underwent endoscopic Dacryocystorhinostomy (DCR). Two of fourteen presented with lacrimal fistula which needed endoscopic DCR with closure of fistula. Emergency endoscopic DCR was performed for two of fourteen patients with Acute Dacryocystitis. One patient had intranasal cyst at the opening of Hasner’s valve which was dealt with endoscopic marsupialization.
Conclusion: Congenital dacryocystoceles may get infected if not intervened timely. Early referral and intervention can avoid complications. Forced syringing and probing may help in opening the block in nasolacrimal system there by avoid the need for DCR. Those presenting with acute Dacryocystitis and lacrimal fistula forced syringing and probing was avoided due to fear of false
passage and were subjected to endoscopic DCR with good result.
Dacryocystocele; Complication; Endoscopic dacryocystorhinostomy; Forced syringing; Probing
Marfatia H, Patil S, Goyal P. Congenital Dacryocystocele: Our Experience. Am J Otolaryngol Head Neck Surg. 2021; 4(1): 1118..