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Nasolacrimal Duct Mucocele
Surjith Vattoth, MD, FRCR; Bernadette L. Koch, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Congenital dacryocystocele
              • Definitions

                • Nasolacrimal duct (NLD) mucocele: Cystic dilation of nasolacrimal apparatus secondary to obstruction of NLD
                • Canthus: Corner of eye where eyelids meet

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Zhang Y et al: Selection of surgical intervention for congenital dacryocystocele. Eur J Ophthalmol. 29(2):158-64, 2019
                                            2. Davies R et al: The presentation, clinical features, complications, and treatment of congenital dacryocystocele. Eye (Lond). 32(3):522-26, 2018
                                            3. Silva-Rosas C et al: Focal epilepsy as a late complication of congenital dacryocystocele. Seizure. 60:157-8, 2018
                                            4. Rodriguez DP et al: Masses of the nose, nasal cavity, and nasopharynx in children. Radiographics. 37(6):1704-30, 2017
                                            5. Dagi LR et al: Associated signs, demographic characteristics, and management of dacryocystocele in 64 infants. J AAPOS. 16(3):255-60, 2012
                                            6. Yazici Z et al: Congenital dacryocystocele: prenatal MRI findings. Pediatr Radiol. 40(12):1868-73, 2010
                                            7. Takahashi Y et al: Management of congenital nasolacrimal duct obstruction. Acta Ophthalmol. 88(5):506-13, 2009
                                            8. Leonard DS et al: Neonatal respiratory distress secondary to bilateral intranasal dacryocystocoeles. Int J Pediatr Otorhinolaryngol. 72(12):1873-7, 2008
                                            9. Wong RK et al: Presentation and management of congenital dacryocystocele. Pediatrics. 122(5):e1108-12, 2008
                                            10. Duval M et al: Respiratory distress secondary to bilateral nasolacrimal duct mucoceles in a newborn. Otolaryngol Head Neck Surg. 137(2):353-4, 2007
                                            11. Olitsky S et al: Diagnosis and treatment of congenital nasolacrimal duct obstruction. J Pediatr Ophthalmol Strabismus. 44(2):80-3, 2007
                                            12. Schellini SA et al: Spontaneous resolution in congenital nasolacrimal obstruction after 12 months. Semin Ophthalmol. 22(2):71-4, 2007
                                            13. Becker BB: The treatment of congenital dacryocystocele. Am J Ophthalmol. 142(5):835-8, 2006
                                            14. Cunningham MJ: Endoscopic management of pediatric nasolacrimal anomalies. Otolaryngol Clin North Am. 39(5):1059-74, viii-ix, 2006
                                            15. Kapadia MK et al: Evaluation and management of congenital nasolacrimal duct obstruction. Otolaryngol Clin North Am. 39(5):959-77, vii, 2006
                                            16. Brachlow A et al: Intranasal mucocele of the nasolacrimal duct: an important cause of neonatal nasal obstruction. Clin Pediatr (Phila). 43(5):479-81, 2004
                                            17. Vanzieleghem BD et al: Imaging studies in the diagnostic workup of neonatal nasal obstruction. J Comput Assist Tomogr. 25(4):540-9, 2001
                                            18. Rand PK et al: Congenital nasolacrimal mucoceles: CT evaluation. Radiology. 173(3):691-4, 1989
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Synonyms

                                                          • Congenital dacryocystocele
                                                        • Definitions

                                                          • Nasolacrimal duct (NLD) mucocele: Cystic dilation of nasolacrimal apparatus secondary to obstruction of NLD
                                                          • Canthus: Corner of eye where eyelids meet

                                                        IMAGING

                                                        • General Features

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Zhang Y et al: Selection of surgical intervention for congenital dacryocystocele. Eur J Ophthalmol. 29(2):158-64, 2019
                                                                                      2. Davies R et al: The presentation, clinical features, complications, and treatment of congenital dacryocystocele. Eye (Lond). 32(3):522-26, 2018
                                                                                      3. Silva-Rosas C et al: Focal epilepsy as a late complication of congenital dacryocystocele. Seizure. 60:157-8, 2018
                                                                                      4. Rodriguez DP et al: Masses of the nose, nasal cavity, and nasopharynx in children. Radiographics. 37(6):1704-30, 2017
                                                                                      5. Dagi LR et al: Associated signs, demographic characteristics, and management of dacryocystocele in 64 infants. J AAPOS. 16(3):255-60, 2012
                                                                                      6. Yazici Z et al: Congenital dacryocystocele: prenatal MRI findings. Pediatr Radiol. 40(12):1868-73, 2010
                                                                                      7. Takahashi Y et al: Management of congenital nasolacrimal duct obstruction. Acta Ophthalmol. 88(5):506-13, 2009
                                                                                      8. Leonard DS et al: Neonatal respiratory distress secondary to bilateral intranasal dacryocystocoeles. Int J Pediatr Otorhinolaryngol. 72(12):1873-7, 2008
                                                                                      9. Wong RK et al: Presentation and management of congenital dacryocystocele. Pediatrics. 122(5):e1108-12, 2008
                                                                                      10. Duval M et al: Respiratory distress secondary to bilateral nasolacrimal duct mucoceles in a newborn. Otolaryngol Head Neck Surg. 137(2):353-4, 2007
                                                                                      11. Olitsky S et al: Diagnosis and treatment of congenital nasolacrimal duct obstruction. J Pediatr Ophthalmol Strabismus. 44(2):80-3, 2007
                                                                                      12. Schellini SA et al: Spontaneous resolution in congenital nasolacrimal obstruction after 12 months. Semin Ophthalmol. 22(2):71-4, 2007
                                                                                      13. Becker BB: The treatment of congenital dacryocystocele. Am J Ophthalmol. 142(5):835-8, 2006
                                                                                      14. Cunningham MJ: Endoscopic management of pediatric nasolacrimal anomalies. Otolaryngol Clin North Am. 39(5):1059-74, viii-ix, 2006
                                                                                      15. Kapadia MK et al: Evaluation and management of congenital nasolacrimal duct obstruction. Otolaryngol Clin North Am. 39(5):959-77, vii, 2006
                                                                                      16. Brachlow A et al: Intranasal mucocele of the nasolacrimal duct: an important cause of neonatal nasal obstruction. Clin Pediatr (Phila). 43(5):479-81, 2004
                                                                                      17. Vanzieleghem BD et al: Imaging studies in the diagnostic workup of neonatal nasal obstruction. J Comput Assist Tomogr. 25(4):540-9, 2001
                                                                                      18. Rand PK et al: Congenital nasolacrimal mucoceles: CT evaluation. Radiology. 173(3):691-4, 1989