Nasolacrimal duct obstruction and dacryocystocele associated with a concha bullosa mucocele

To describe the rare occurrence of a concha bullosa mucocele producing secondary nasolacrimal duct obstruction and dacryocystocele. Case report. Forty-two-year-old man with 6-month history of left medial canthal mass. Clinical evaluation with lacrimal testing, computed tomography and surgical explor...

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Bibliographic Details
Published in:	Ophthalmology (Rochester, Minn.) Vol. 107; no. 7; p. 1393
Main Authors:	Edison, B J, Meyer, D R
Format:	Journal Article
Language:	English
Published:	United States 01-07-2000
Subjects:	Adult Dacryocystitis - diagnostic imaging Dacryocystitis - etiology Dacryocystitis - surgery Dacryocystorhinostomy Humans Lacrimal Duct Obstruction - diagnostic imaging Lacrimal Duct Obstruction - etiology Male Mucocele - complications Mucocele - diagnostic imaging Mucocele - surgery Nasolacrimal Duct - diagnostic imaging Nasolacrimal Duct - pathology Nasolacrimal Duct - surgery Paranasal Sinus Diseases - complications Paranasal Sinus Diseases - diagnostic imaging Paranasal Sinus Diseases - surgery Tomography, X-Ray Computed Turbinates - diagnostic imaging Turbinates - pathology
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Summary:	To describe the rare occurrence of a concha bullosa mucocele producing secondary nasolacrimal duct obstruction and dacryocystocele. Case report. Forty-two-year-old man with 6-month history of left medial canthal mass. Clinical evaluation with lacrimal testing, computed tomography and surgical exploration, including biopsy, dacryocystorhinostomy, and excision/marsupialization of the middle turbinate concha bullosa mucocele were performed. The medial canthal mass was confirmed to be a dacryocystocele associated with nasolacrimal duct obstruction and bone destruction caused by concha bullosa mucocele. Concha bullosa mucoceles are uncommon and even more rarely can produce secondary nasolacrimal duct obstruction and dacryocystocele formation. The clinical and radiologic features may mimic a lacrimal sac malignancy.
ISSN:	0161-6420
DOI:	10.1016/S0161-6420(00)00158-5