A Rare Complication After Transcanalicular Dacryocystorhinostomy: Tissue Necrosis and Nasal-Cutaneous Fistula
OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, vol.27, no.5, 2011 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 27 Issue: 5
- Publication Date: 2011
- Doi Number: 10.1097/iop.0b013e3181fc0611
- Journal Name: OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Istanbul University Affiliated: Yes
Abstract
Transcanalicular dacryocystorhinostomy (TCDCR) with diode laser is a minimally invasive technique with good cosmetic results. The reported complication rate is low. In this brief report, the authors describe a patient with tissue necrosis and nasal-cutaneous fistula after TCDCR. A 65-year-old woman attended the authors' clinic 1 month after TCDCR. Examination revealed a large tissue defect and nasal-cutaneous fistula in the medial canthal region. Aspergillus growth was noted in culture specimens taken from the nasal cavity. The patient was treated with intravenous amphotericin B. The treatment resulted in granulation and closure of the defect.