International Journal of Pediatric Otorhinolaryngology Extra
Volume 3, Issue 2 , Pages 78-80, March 2008

Intranasal mucocele of the nasolacrimal duct—A cause of neonatal nasal obstruction

  • W. Raith

      Affiliations

    • Department of Paediatrics, University of Graz, Auenbruggerplatz 30, A-8036 Graz, Austria
    • Corresponding Author InformationCorresponding author. Tel.: +43 316 385 3830/3725; fax: +43 316 385 2678.
    • ,
  • F. Reiterer

      Affiliations

    • Department of Paediatrics, University of Graz, Auenbruggerplatz 30, A-8036 Graz, Austria
    • ,
  • G. Wolf

      Affiliations

    • Department of Otorhinolaryngology, University of Graz, Auenbruggerplatz 20, A-8036 Graz, Austria
    • ,
  • M. Riccabona

      Affiliations

    • Department of Radiology, University of Graz, Auenbruggerplatz 9, A-8036 Graz, Austria
    • ,
  • W. Mueller

      Affiliations

    • Department of Paediatrics, University of Graz, Auenbruggerplatz 30, A-8036 Graz, Austria
    • ,
  • B. Urlesberger

      Affiliations

    • Department of Paediatrics, University of Graz, Auenbruggerplatz 30, A-8036 Graz, Austria

Received 3 September 2007; received in revised form 14 November 2007; accepted 14 November 2007. published online 15 January 2008.

Summary 

After a spontaneous delivery, a healthy female newborn showed a cyanotic spell.

The medical inspection shows a healthy newborn, only the nose was difficult to probe with the smallest tube. This leads to the diagnosis nasal obstruction.

The nasal-endoscopy shows cystic malformations which restrict the inferior nasal meatus totally on both sides and the common nasal meatus on the right side [2].

With ultrasound and magnetic resonance imaging these malformations were identified as a mucocele caused by a blocked nasolacrimal duct. By a following nasal-endoscopy the blocked duct was resected. After that the baby could breathe without any symptoms of airway obstruction.

Keywords: Cyanotic spell, Nasal obstruction, Intranasal mucocele, Nasolacrimal duct, Newborn

 

PII: S1871-4048(07)00089-5

doi:10.1016/j.pedex.2007.11.001

International Journal of Pediatric Otorhinolaryngology Extra
Volume 3, Issue 2 , Pages 78-80, March 2008

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