Congenytal Dacryocele Associated to Intranasal Mucocele: Case Report and Review of the Literature

Abstract

Congenital dacryocele is a rare clinical entity, which may be associated with intranasal mucocele. We present the case of a female patient, full-term newborn, with a neonatal diagnosis of right congenital dacryocele. She was hospitalized for management of dacryocystitis, with intravenous and topical antibiotics, with good response at the beginning. The imaging study revealed ipsilateral intranasal mucocele. She was evaluated by medical ophthalmology and otorhinolaryngology. Surgical resolution with an endoscopic approach was decided, by resection of the cyst, marsupialization and installation of a silicone probe (Monoka®). The procedure was performed without incident, without recurrence or complications after a six month follow-up. This pathology is described through a review of the literature.