The Fungal Infection of Nasal Cavity After Endonasal Dacryocystorhinostomy.

Han, Myeong Soo; Kim, Yoon Hee; Lee, Jong Hyuck

Case Report

Journal of the Korean Ophthalmological Society 2003;44(6):1433-1436.
Published online June 1, 2003.

The Fungal Infection of Nasal Cavity After Endonasal Dacryocystorhinostomy.

Myeong Soo Han, Yoon Hee Kim, Jong Hyuck Lee

Department of Ophthalmology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine, Wonju, Korea. jhlee@wonju.yonsei.ac.kr

내시경적 누낭비강문합술 후 발생한 비강내 진균 감염 1예

한명수 ( Myeong Soo Han ) , 김윤희 ( Yoon Hee Kim ) , 이종혁 ( Jong Hyuck Lee )

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.

Key Words: Endonasal dacryocystorhinostomy;Fungal infection