Document Detail

Neonatal respiratory distress: sequela of bilateral nasolacrimal duct obstruction.
MedLine Citation:
PMID:  8436467     Owner:  NLM     Status:  MEDLINE    
Neonatal respiratory distress is a commonly seen entity whose causes are legion. Nasal obstruction secondary to intranasal masses is significant because neonates are obligate nasal breathers. Congenital nasolacrimal duct obstruction (NLDO) causing respiratory distress is an extremely rare event since most cases of NLDO do not compromise the nasal airway. We report two cases of neonatal respiratory distress secondary to bilateral NLDO with cystic mucocele formation and intranasal extension; only two similar cases have been previously described. Pertinent embryology and anatomy are reviewed as is a brief discussion of congenital NLDO. MRI and a nasal endoscopic photograph are provided demonstrating the nasolacrimal and nasal pathology. Treatment strategies are outlined. Consideration of nasolacrimal duct pathology in the differential diagnosis of neonatal respiratory distress and nasal obstruction is stressed.
C A Mazzara; D S Respler; A F Jahn
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  25     ISSN:  0165-5876     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-03-22     Completed Date:  1993-03-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  209-16     Citation Subset:  IM    
Section of Otolaryngology, UMDNJ-New Jersey Medical School, Newark 07103-2714.
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MeSH Terms
Infant, Newborn
Lacrimal Duct Obstruction / congenital*
Mucocele / congenital*
Nasal Obstruction / etiology*
Nasolacrimal Duct*
Respiratory Insufficiency / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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