Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ophthalmic Plast Reconstr Surg. 2011 Sep-Oct;27(5):e112-3. doi: 10.1097/IOP.0b013e3181fc0611.
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.
经鼻内窥镜下泪囊鼻腔吻合术（TCDCR）联合二极管激光是一种具有良好美容效果的微创手术。报道的并发症发生率较低。在本简要报告中，作者描述了一例 TCDCR 后发生组织坏死和鼻-皮肤瘘的患者。一位 65 岁女性在 TCDCR 后 1 个月就诊于作者诊所。检查发现内眦区域有一个大的组织缺损和鼻-皮肤瘘。从鼻腔取出的培养标本中发现了曲霉菌生长。患者接受了静脉注射两性霉素 B 治疗。治疗后出现肉芽组织并封闭了缺损。
