CT in a Neonate with Nasal Obstruction

A three-day-old girl was referred to the radiology department by the otorhinolaryngologist for work-up of nasal obstruction as she presented with loud nasal respiration and respiratory distress during feeding. Nasal endoscopy revealed a bilateral intranasal mass. CT of the sinonasal region showed a bilateral soft-tissue mass at the medial canthus, with bilateral widening of the nasolacrimal canal, and revealed the presence of a bilateral endonasal mass below the inferior turbinate (Figures 1–3). This triad of imaging findings is diagnostic for a congenital dacryocystocoele. Endonasal wide marsupialisation using a microdebrider was performed, restoring patency of the nasolacrimal apparatus and resolving the symptoms.