Nasal obstruction in a newborn

• Autor(a) principal: Coelho, Tiago Lourenço
• Data de Publicação: 2021
• Outros Autores: Neves, João Fonseca, Caiado, Ricardo, Silva, Luís Filipe
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.16/2756
• topic: bilateral congenital dacryocystocele; neonatal respiratory obstruction

Dacryocystocele is an uncommon congenital disease affecting less than 1% of newborns. Herein is presented the case of a female newborn with respiratory distress with onset in the first hours of life and worsening during breastfeeding. Resistance to endoscope progression due to narrowing of both patent nasal cavities was noticed during flexible nasal endoscopy, and computed tomography revealed an extremely rare case of bilateral dacryocystocele. A conservative approach was chosen, with surveillance in the Intensive Care Unit. Although most dacryocystocele cases resolve spontaneously in the first year of life, recognition of this rare condition (particularly in Otolaryngology and Ophthalmology clinical practice) is crucial to prevent complications.