J Korean Ophthalmol Soc.  2003 Jun;44(6):1433-1436.

The Fungal Infection of Nasal Cavity After Endonasal Dacryocystorhinostomy

  • 1Department of Ophthalmology, Wonju Christian Hospital, Yonsei University, Wonju College of Medicine, Wonju, Korea. jhlee@wonju.yonsei.ac.kr


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.


Endonasal dacryocystorhinostomy; Fungal infection
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