Awake bedside nasal endoscopy for primary management of neonatal dacryocystoceles with intranasal cysts
| Autor: | Nina W. Zhao, Dylan K. Chan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Dacryocystocele 03 medical and health sciences Dacryocystitis 0302 clinical medicine 030225 pediatrics Lacrimal Duct Obstruction Nose Diseases medicine Humans Cyst Wakefulness 030223 otorhinolaryngology Retrospective Studies Nasolacrimal duct Massage business.industry Cysts Infant Newborn Infant Endoscopy General Medicine medicine.disease Marsupialization Surgery Nasolacrimal duct obstruction medicine.anatomical_structure Otorhinolaryngology Pediatrics Perinatology and Child Health Nasal administration Female business Dacryocystorhinostomy Nasolacrimal Duct |
| Zdroj: | International journal of pediatric otorhinolaryngology. 123 |
| ISSN: | 1872-8464 |
| Popis: | Objective To present outcomes of neonatal dacryocystoceles treated through endoscopic intranasal cyst marsupialization (EICM) without general anesthesia and nasolacrimal duct (NLD) probing or irrigation. Methods Records of eleven consecutive infants diagnosed with unilateral or bilateral congenital cysts associated with the nasolacrimal system between January 2016 and February 2019 at our institution were retrospectively reviewed. Results Age at diagnosis ranged from 0 to 56 days, and 45.5% were male. 54.5% had dacryocystitis before surgical intervention. Patients were initially treated with a combination of massage and topical antibiotics; some received parenteral antibiotics if infected. Nearly all patients (90.9%) had one or more intranasal cysts. Of these patients, two underwent lacrimal probing and EICM in the operating room. One underwent EICM only in the operating room. Another patient initially failed bedside NLD probing and subsequently underwent bedside nasal endoscopy and awake EICM. The final six patients underwent EICM without general anesthesia or NLD probing. No complications were noted. Follow-up ranged from 7 to 906 days. Complete resolution was observed in all ten patients who underwent EICM, regardless of anesthesia. Conclusions Neonatal dacryocystoceles and/or intranasal cysts are successfully treated at the bedside through nasal endoscopy with simple awake endoscopic intranasal cyst marsupialization. Avoidance of general anesthesia and NLD probing or irrigation would greatly simplify and decrease the cost of dacryocystocele management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect