A rare complication after transcanalicular dacryocystorhinostomy: tissue necrosis and nasal-cutaneous fistula

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...

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Bibliographic Details
Published inOphthalmic plastic and reconstructive surgery Vol. 27; no. 5; p. e112
Main Authors Yeniad, Baris, Bilgin, Lale Kozer, Cagatay, Atahan, Aslan, Ismet
Format Journal Article
LanguageEnglish
Published United States 01.09.2011
Subjects
Aged
Aspergillus - isolation & purification
Cutaneous Fistula - etiology
Dacryocystorhinostomy - adverse effects
Female
Humans
Lasers, Semiconductor - adverse effects
Nasal Cavity - microbiology
Necrosis - etiology
Nose - pathology
Nose Diseases - etiology
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Summary: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.
ISSN:1537-2677
DOI:10.1097/IOP.0b013e3181fc0611