The Fungal Infection of Nasal Cavity After Endonasal Dacryocystorhinostomy.
- Author:
Myeong Soo HAN
1
;
Yoon Hee KIM
;
Jong Hyuck LEE
Author Information
1. Department of Ophthalmology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine, Wonju, Korea. jhlee@wonju.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Endonasal dacryocystorhinostomy;
Fungal infection
- MeSH:
Anesthesia, General;
Biopsy;
Candida albicans;
Dacryocystorhinostomy*;
Epistaxis;
Exudates and Transudates;
Female;
Follow-Up Studies;
Humans;
Middle Aged;
Mitomycin;
Nasal Cavity*;
Osteotomy;
Recurrence;
Wound Healing;
Wound Infection
- From:Journal of the Korean Ophthalmological Society
2003;44(6):1433-1436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To achieve the higher success rate of Dacryocystorhinostomy, Adjunctively, Mitomycin C has been widely used. There have been many complications with the administration of mitomycin C, such as delayed wound healing, wound infection and recurrent nasal bleeding. We are reporting a case of fungal infection in the nasal cavity after the administration of mitomycin C in the endoscopic dacryocystorhinostomy. METHODS: Under the general anesthesia, 63 year old female patient underwent endoscopic Dacryocystorhinostomy. At the end of this operation, a piece of neurosurgical cottonoid soaked with 0.04% mitomycin C was applied at the osteotomy site for 30 mins. During the postoperative follow-up, we executed incisional biopsy for some mass-like lesion in nasal cavity. RESULTS: Pathologic finding of inflammatory fibrinoid exudate due to Candida albicans was found. The evacuation of the mass was carried out without postoperative recurrence.
