{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T19:54:38Z","timestamp":1772567678786,"version":"3.50.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Introduction Congenital dacryocystoceles are a rare condition caused by nasolacrimal duct obstruction. Symptoms include epiphora, nasal obstruction, and swelling in the medial canthus. Treatment usually entails probing Hasner\u02bcs valve open and, if necessary, intubating the nasolacrimal duct. We present a minimally invasive, endoscopic procedure with marsupialisation of the endonasal portion of the cele. The operation avoids additional manipulation of the lacrimal duct to prevent iatrogenic injury.<\/jats:p><jats:p>\n               Methods This retrospective analysis included a total of nineteen infants or young children (21 eyes) aged 3 days to 39 months. Two of the patients were suffering from acute respiratory distress, seven from recurrent infections with persistent epiphora, and twelve from acute dacryocystitis with orbital phlegmon.<\/jats:p><jats:p>\n               Results The endonasal portion of the dacryocele was detected in all cases and resected endonasally using an endoscope. Recurrences required revision surgery involving dacryocystorhinostomy after primary surgery in two patients aged of 22 and 39 months. All other seventeen patients were free of recurrence.<\/jats:p><jats:p>\n               Summary Our results show endoscopic endonasal marsupialisation without additional intubation or probing of the lacrimal ducts to be a successful treatment strategy for congenital dacryocystoceles. This avoids iatrogenic scarring, false passages, or postoperative bacteraemia. The surgical technique presented here shows a lower success rate in older children with a history of inflammation.<\/jats:p>","DOI":"10.1055\/a-2409-0958","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T19:59:19Z","timestamp":1733428759000},"page":"240-244","source":"Crossref","is-referenced-by-count":1,"title":["Long-term Outcomes of a Minimally Invasive Surgical Approach in Paediatric Patients with Congenital Dacryocystoceles"],"prefix":"10.1055","volume":"242","author":[{"given":"Kerstin","family":"St\u00e4hr","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Eckstein","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inga","family":"Neumann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timon","family":"Hussain","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Lang","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Mattheis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Universit\u00e4tsklinikum Essen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1001\/archopht.1952.01700030146003","article-title":"Developmental anatomy of nasolacrimal duct","volume":"47","author":"J V Cassady","year":"1952","journal-title":"AMA Arch Ophthalmol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1038\/eye.1991.103","article-title":"Epiphora during the first year of life","volume":"5","author":"C J MacEwen","year":"1991","journal-title":"Eye (Lond)"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3928\/0191-3913-19810901-06","article-title":"Development and congenital abnormalities of the nasolacrimal apparatus","volume":"18","author":"D Sevel","year":"1981","journal-title":"J Pediatr Ophthalmol 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A collaborative review","volume":"98","author":"A M Mansour","year":"1991","journal-title":"Ophthalmology"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.ijporl.2016.04.015","article-title":"Long-term outcomes of cruciate marsupialization of intra-nasal cysts in patients with congenital dacryocele","volume":"86","author":"M J Ali","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0165-5876(02)00379-8","article-title":"Nasal endoscopy in the treatment of congenital lacrimal sac mucoceles","volume":"67","author":"A V Levin","year":"2003","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1177\/25158414211030427","article-title":"Outcomes of lacrimal probing surgery as the first option in the treatment of congenital dacryocystocele","volume":"13","author":"C Akpolat","year":"2021","journal-title":"Ther Adv Ophthalmol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1080\/01676830.2017.1383483","article-title":"A comparison of the success rates of endoscopic-assisted probing in the treatment of membranous congenital nasolacrimal duct obstruction between younger and older children and its correlation with the thickness of the membrane at the Valve of Hasner","volume":"37","author":"N Gupta","year":"2018","journal-title":"Orbit"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1097\/00005537-200301000-00007","article-title":"Congenital dacryocystocele associated with intranasal cysts: diagnosis and management","volume":"113","author":"R G Shashy","year":"2003","journal-title":"Laryngoscope"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e1108","DOI":"10.1542\/peds.2008-0934","article-title":"Presentation and management of congenital dacryocystocele","volume":"122","author":"R K Wong","year":"2008","journal-title":"Pediatrics"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1016\/j.ajo.2006.05.043","article-title":"The treatment of congenital dacryocystocele","volume":"142","author":"B B Becker","year":"2006","journal-title":"Am J Ophthalmol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3928\/0191-3913-19980101-12","article-title":"Lacrimal-duct-probing-induced bacteremia: should children with congenital heart defects receive antibiotic prophylaxis?","volume":"35","author":"G A Eippert","year":"1998","journal-title":"J Pediatr Ophthalmol Strabismus"},{"issue":"07","key":"ref21","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011109.pub2","article-title":"Probing for congenital nasolacrimal duct obstruction","author":"C Petris","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1046\/j.1365-2273.2002.00556.x","article-title":"Endoscopic marsupialization of congenital nasolacrimal duct cyst with dacryocoele","volume":"27","author":"D Roy","year":"2002","journal-title":"Clin Otolaryngol Allied Sci"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2409-0958.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T23:41:51Z","timestamp":1759362111000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2409-0958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":22,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,3,24]]},"published-print":{"date-parts":[[2025,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2409-0958","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,5]]}}}