Bilateral giant dacryocele in a case of Tessier cleft-3

Tessier cleft-3 represents diverse clinical presentations, from simple notch in nasolabial groove to bilateral forms with cranial extensions. We report a 10-year-old child with facial features of Tessier cleft-3 and associated epiphora due to an abnormally dilated nasolacrimal duct on imaging. No previous associations of giant dacryocoeles have ever been reported.