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Peer-reviewedCC BY-NC-ND 4.0Otolaryngology--Head and Neck Surgery

Clinic‐Based Transnasal Marsupialization for the Treatment of Congenital Dacryocystocele

  • Camille Caron1
  • Charlotte Lussier2
  • Annie Lapointe3,4
  • Rosanne Superstein3,5
  • Erika Mercier6
6 affiliations
  1. 1Department of Anesthesiology Université de Montréal Montreal Quebec Canada
  2. 2Department of Ophthalmology Université de Montréal Montreal Quebec Canada
  3. 3Centre Hospitalier Universitaire Sainte‐Justine Université de Montréal Quebec Canada
  4. 4Department of Surgery, Division of Otorhinolaryngology Centre Hospitalier Universitaire Sainte‐Justine Montreal Quebec Canada
  5. 5Department of Surgery, Division of Ophthalmology Centre Hospitalier Universitaire Sainte‐Justine Montreal Quebec Canada
  6. 6Department of Otolaryngology & Communication Enhancement Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA
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Abstract

Objective: To evaluate the feasibility and outcomes of endoscopic intranasal marsupialization as treatment for congenital dacryocystocele, performed under topical anesthesia in a clinical setting.

Study Design: A retrospective review was conducted at a tertiary pediatric care hospital spanning from 2014 to 2024.

Setting: 23 infants under 1 year of age who underwent marsupialization under topical anesthesia for the treatment of a dacryocystocele were identified and their medical records were analyzed. No control group was used for this study.

Methods: Through a review of patient's medical files, the surgical technique used for cases of marsupialization under topical anesthesia in our medical center was documented and described.

Results: The primary outcome was the success rate of marsupialization procedures under topical anesthesia, defined as nonrecurrence. Secondary outcomes comprised periprocedural and postprocedure complications. The age of the patients at diagnosis ranged from 7.1 to 16.4 days. Among the 23 patients, 19 (83%) had previously failed conservative treatment before undergoing surgical intervention. Two patients (9%) experienced recurrent dacryocystocele. There were no perioperative or postoperative complications observed. Following the procedure, the most prevalent persistent symptom was nasal congestion, observed in 4 patients (17%). The mean time to treatment was 4.4 days and the overall hospital duration post‐procedure was 0.4 days.

Conclusion: This study underscores the efficacy and safety of clinic‐based endoscopic intranasal marsupialization for treating dacryocystocele. This approach expedites surgical care, eliminates the requirement for general anesthesia and allows a reduced hospital stay, making it a favorable treatment option in clinical practice.

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Cite

BibTeXRIS
BibTeX
@article{caron2026clinicbased,
  title = {{Clinic‐Based Transnasal Marsupialization for the Treatment of Congenital Dacryocystocele}},
  author = {Camille Caron and Charlotte Lussier and Annie Lapointe and Rosanne Superstein and Erika Mercier},
  journal = {Otolaryngology--Head and Neck Surgery},
  year = {2026},
  month = aug,
  doi = {10.1002/ohn.70372},
  url = {https://doi.org/10.1002/ohn.70372},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Clinic‐Based Transnasal Marsupialization for the Treatment of Congenital Dacryocystocele
AU  - Camille Caron
AU  - Charlotte Lussier
AU  - Annie Lapointe
AU  - Rosanne Superstein
AU  - Erika Mercier
PY  - 2026
DA  - 2026/08/17
JO  - Otolaryngology--Head and Neck Surgery
DO  - 10.1002/ohn.70372
UR  - https://doi.org/10.1002/ohn.70372
AB  - Objective: To evaluate the feasibility and outcomes of endoscopic intranasal marsupialization as treatment for congenital dacryocystocele, performed under topical anesthesia in a clinical setting.  Study Design: A retrospective review was conducted at a tertiary pediatric care hospital spanning from 2014 to 2024.  Setting: 23 infants under 1 year of age who underwent marsupialization under topical anesthesia for the treatment of a dacryocystocele were identified and their medical records were analyzed. No control group was used for this study.  Methods: Through a review of patient's medical files, the surgical technique used for cases of marsupialization under topical anesthesia in our medical center was documented and described.  Results: The primary outcome was the success rate of marsupialization procedures under topical anesthesia, defined as nonrecurrence. Secondary outcomes comprised periprocedural and postprocedure complications. The age of the patients at diagnosis ranged from 7.1 to 16.4 days. Among the 23 patients, 19 (83%) had previously failed conservative treatment before undergoing surgical intervention. Two patients (9%) experienced recurrent dacryocystocele. There were no perioperative or postoperative complications observed. Following the procedure, the most prevalent persistent symptom was nasal congestion, observed in 4 patients (17%). The mean time to treatment was 4.4 days and the overall hospital duration post‐procedure was 0.4 days.  Conclusion: This study underscores the efficacy and safety of clinic‐based endoscopic intranasal marsupialization for treating dacryocystocele. This approach expedites surgical care, eliminates the requirement for general anesthesia and allows a reduced hospital stay, making it a favorable treatment option in clinical practice.
SN  - 0194-5998
SN  - 1097-6817
ER  -