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At least 91 records · Page 5Linked to original sources

Osteoid osteoma of the ethmoid bone associated with dacryocystitis.

BACKGROUND: Osteoid osteomas (OO) are small, benign osteoblastic lesions. Ethmoid bone OO has been very rarely reported so far. CASE PRESENTATION: We report a case of a 16-year-old boy suffering from persistent epiphora and a mild pain in the area of median canthus, due to a bone density mass within the right ethmoid air cells extending to the ipsilateral right orbit. The mass was removed via an external ethmoidectomy approach. Histopathologic examination of the specimen set the diagnosis of OO. One year after the operation the patient is free of symptoms, while no recurrence occurred. CONCLUSION: A case of ethmoid bone OO associated with dacryocystitis is reported. Although benign and rare, OO should be considered in differential diagnosis of the ethmoid bone osteoblastic lesions.

Adolescent↗

Bilateral acute dacryocystitis in a premature infant.

A premature infant with bilateral acute purulent dacryocystitis was presented. The possibility of a contamination before delivery was raised. Treatment with antibiotics proved to be helpful in curing the disease.

Anti-Bacterial Agents↗

[Chronic dacryocystitis cured by probing of the duct].

A seven-year-old case with chronic dacryocystitis resulting from congenital obstruction of the nasolacrimal duct was cured not by a dacryocystorhinostomy but by probing of the duct. Our results show that even in case of planned dacryocystorhinostomy, probing of the duct should be performed at least once.

Child↗

Mucocele in an orbitoethmoidal (Haller's) cell (accidentally combined with acute contralateral dacryocystitis).

Haller's cells--according to recent terminology now called orbitoethmoidal cells (OEC)--are defined as anterior or posterior ethmoidal cells that have developed into the orbital floor. They can be excessively pneumatized and thus contribute to obstruction of the ostiomeatal complex area. We present the case of a 42 year old white male, who was admitted for treatment of an acute dacryocystitis on the right side. The CT scan revealed moderate sinusitis of the right ethmoid and maxillary sinuses and coincidentally a mucocele in an OEC on the left side. An endoscopic dacryocystorhinostomy on the right and a revision of the mucocele on the left side were performed in the same sitting. We consider both indications--stenosis of the nasolacrimal duct as well as mucoceles rewarding indications for endoscopic surgery. An external approach to the nasolacrimal duct in this case would have been problematic, as the external skin and soft tissue covering the duct already showed severe inflammatory changes. The operation of the up until that time asymptomatic mucocele was of prophylactic character. To our knowledge this is the first report of a mucocele developing in an OEC in the literature.

Acute Disease↗

[Chronic dacryocystitis fistulization in a Rubinstein-Taybi syndrome].

The article presents the treatment difficulties of the chronic dacryocystitis at an eight month old patient, diagnosed with Rubinstein-Taybi syndrome. The difficulties occurred as a result of numerous antibiotic treatments and surgical procedures suffered by the patient since his second week of life.

Dacryocystitis↗

[Surgical treatment with dacryocystitis and retinal detachment in a patient with Wegener granulomatosis].

BACKGROUND: We report surgical treatment of a patient with dacryocystitis and retinal detachment (RD), which are rare ophthalmic involvements of Wegener granulomatosis (WG). CASE: The patient was a 26-year-old man with WG. He was diagnosed as having WG 4 years ago and he has been treated by maintenance doses of predonisolone and cyclophosphamide. Rheumatoid factor and serum antinuclear antibody were negative. Cytoplasmic pattern-antineutrophil cytoplasmic antibody (C-ANCA) and renal function were normal. He was found to have nasolacrimal duct obstruction and lattice degeneration bilaterally, retinal tear with RD in the left eye and tear without RD in the right eye. No sign of vasculitis was found in fluorescein angiography. Bilateral dacryocystorhinostomy was performed without any sign of postoperative necrosis of the wound. After the surgery, epiphora and eye discharge disappeared and lacrimal passage has been maintained without obstruction. The pathological findings of his nasal mucosa and lacrimal sac showed chronic inflammation and no typical changes of WG. There was no abnormal change in the conjunctiva and sclera after an uncomplicated scleral buckling surgery. CONCLUSION: We conclude that operations such as dacryocystorhinostomy and scleral buckling surgery may be performed successfully when WG is controlled within the normal limits of C-ANCA.

Adult↗

[Congenital bilateral dacryocystitis and craniofacial dysraphia].

It is presented the observation of a child of 8 years old having a bilateral congenital dacryocyst by the absence of the lacrimonasal duct and multiple facial malformations are: telorbitismus, frontal meningocele, some lesions determined by a craniofacial dehiscence (fissura 2-12) with paramedian dysraphia. The affection has been produced by a disturbance of embryogenesis that occurred during the V-VI intrauterine development weeks, by metrorrhagias and repeated hypoxia that determined a disturbance at the level of the welding frontal buds with meningocele, of the olfactive guttier and the mass of the ethmoid with telorbitism and arthresia of the lacrimal duct.

Child↗

[Treatment for chronic dacryocystitis by dacryocystorhinotomy with Ho: YAG laser under endoscope].

OBJECTIVE: To analyze the experience and curative effect in treating chronic dacrocystitis by dacryocystorhinotomy with Ho:YAG laser under endoscope. METHOD: 20 patients of chronic dacryocystitis were treated by dacryocystorhinotomy with Ho:YAG laser under endoscope, followed-up for 1 approximately 2 years to observe the curative effects. RESULT: One was unplugged 8 months after the operation, six after 6 months, four after 4 months and nine after 3 months. No recidivations was found one year after the operation and the effective rate was 100%. There was no complications in all of the cases. CONCLUSION: The technique of dacryocystorhinotomy with Ho: YAG laser under endoscope overcomes the disadvantages of traditional method of operation.

Adult↗

CT demonstration of dacryolithiasis complicated by dacryocystitis.

Cross-sectional imaging has demonstrated an increasing role in the evaluation of the orbits and the periorbital structures. The case presented in this article demonstrates the rare finding of a dacryolith by CT. To our knowledge, little has been reported on cross-sectional imaging characteristics of this entity in the recent radiologic literature. We demonstrated that CT can be a useful tool in diagnosing both dacryolithiasis and dacryocystitis. Obtaining an early diagnosis of dacryolithiasis is optimal to avoid potential complications, particularly because treatment is often curative.

Actinomycosis↗

Congenital dacryocystocele with acute dacryocystitis: report of two cases.

Congenital dacryocystocele is an uncommon lesion of the nasolacrimal drainage system of newborns. The lesion often develops secondary infection due to the obstruction of both distal and proximal nasolacrimal ducts. Early recognition by experienced pediatrician might initiate effective therapy to prevent the progression to possible secondary infection. However, there is no standard criteria for optimal treatment. Hence, we review the literature and report two newborns with congenital dacryocystocele in one of which progressed to secondary infection, dacryocystitis.

Acute Disease↗

[Neonatal dacryocystitis. A case report].

The authors report one case of neonatal dacryocystitis. They consider the diagnostic and therapeutic problems. One surgical intervention, with a large orifice of the lacrimal meatus, upon the catheter, with rhinoscopy, seems them the best solution, in this precise case.

Dacryocystitis↗

Clinicobacteriological correlates of congenital dacryocystitis.

One hundred and fourteen eyes with congenital dacryocystitis have been studied clinically and bacteriologically. Gram positive cocci constituted the major bacterial isolates (57.9%) with streptococcus pneumoniae predominating (28.9%). The most effective antibiotic was cloxacillin with an overall efficacy of 77%. Normal conjunctival flora was sterile in majority (75%) of cases. Positive cases showed preponderance of gram positive cocci (21.6%) with staphylococcus albus (13.3%) being the major isolate. Normal nasal flora revealed diphtheroids (alone or in combination) to be the commonest bacteria (62.1%). A statistically significant correlation was not observed between the normal conjunctival or nasal flora and flora from the affected eyes.

Bacteria↗

[Epidermoid carcinoma of the lacrimal sac after acute post-traumatic dacryocystitis].

A 58 year old man underwent a facial trauma and developed, after several months, an acute dacryocystitis. A DCR procedure was performed but a pericystitis pursued its course for 6 years though a good patency of the lacrimal flow. The patient was reviewed with deep, large, solid and painless mass. A pathological examination showed a squamous cells carcinoma scattered around the lacrimal sac and through the previous DCR. An enlarged exenteration was performed.

Acute Disease↗

Management of acquired dacryocystitis.

Acquired dacryocystitis that has its onset after the first year of life is due to fibrotic obstruction within the lacrimal drainage pathways that is usually secondary to trauma or infection. Staphylococcus aureus is the most common pathogen, but attempts should be made to express or aspirate material from the lacrimal sac for culture and antibiotic sensitivity testing. When the strain is resistant to penicillin or when a culture specimen is not obtainable, cloxacillin is the antibiotic of choice. The timing of application of hot compresses is important so that the swelling can be localized to the sac but perforation will not be induced. Once the inflammation has resolved, dacryocystorhinostomy may be needed to drain residual fluid. Dacryocystography is useful to indicate whether there is persistent obstruction or stenosis; if the results are normal but symptoms persist, scintiscanning may demonstrate a delay of tear flow out of the sac or may reveal a stone.

Cellulitis↗

Primary dacryocystitis causing orbital cellulitis.

A patient was examined who had acute dacryocystitis that caused true orbital cellulitis. The symptoms of the cellulitis receded after treatment with cephalothin sodium and hot compresses. A dacryocystorhinostomy was performed three weeks later. Delay of the surgery until the acute episode had resolved was probably responsible for the good surgical results.

Cellulitis↗

Bilateral Candida albicans dacryocystitis with facial cellulitis.

Candida albicans rarely infects the lacrimal drainage system. This paper describes a case of bilateral C. albicans dacryocystitis following midfacial trauma. The patient presented with recurrent facial cellulitis and a fistula opening onto the cheek. The condition was controlled only after bilateral dacryocystorhinostomy along with amphotericin B therapy. This appears to be the first reported case in which the lacrimal sacs acted as a reservoir for microorganisms causing recurrent facial cellulitis.

Aged↗

[Acute post-rhinoplasty dacryocystitis. Apropos of a case].

Lacrimal ducts are exposed to surgical wounds during cosmetic surgery of the nose because of the anatomic situation. Beside minor and transitory injuries exist major injuries needing a surgical solution. The authors report a case of an acute dacryocystitis after an aesthetic rhinoplasty. After reviewing the literature and studying the possible traumatic mechanisms, the authors propose to treat the lacrymal injury by a bicanaliculonasal intubation before than performing a dacryocystorhinostomy.

Acute Disease↗