Endoscopic-Assisted Probing for Congenital Nasal Lacrimal Duct Obstruction with Suspected Nasal Anomaly: A Case Report

Abstract

 

Purpose:

 

To present a case of infantile nasal lacrimal duct obstructionsecondary to bilateral nasal cysts.

 

Methods:

 

Case Report

 

Results:

 

An 18 day-old infant presented with mild respiratory distressand epiphora since birth. No visible cause of congenital nasallacrimal duct (NLD) obstruction was present. In the operatingroom, probing with simultaneous nasal endoscopy revealed bilateralnasal cysts at the distal ends of the NLDs. The cysts were excisedand the NLDs irrigated to verify patency. The patient’ssymptoms resolved postoperatively.

 

Conclusions:

 

Nasal cysts should be considered in infants who present withrespiratory distress and congenital NLD obstruction. Nasal endoscopymay be useful for visualization and surgical treatment.  

 

 

Keywords: orbit • comparative anatomy • development