Shahid Erum, Nasir Mashal, Khan Faheem Ahmed, Fasih Uzma
Department of Ophthalmology, Karachi Medical and Dental College, Abbasi Shaheed Hospital, Karachi, Pakistan.
ENT Surgeon, Karachi Medical and Dental College, Abbasi Shaheed Hospital, Karachi, Pakistan.
Oman J Ophthalmol. 2023 Feb 21;16(1):145-147. doi: 10.4103/ojo.ojo_318_21. eCollection 2023 Jan-Apr.
A 62-year-old female presented with complaints of persistent phantosmia (foul smell) for the last 4 months. She has a past history of right-sided dacryocystorhinostomy (DCR) 18 months back and left-sided DCR 12 months back. In the initial follow-up period, the patient had frequent visits to her otolaryngologist and ophthalmologist. She experienced phantosmia often but was reassured. The patient presented to us and was examined in an operation theater. It was discovered that the foul-smelling foreign body was present in her right nasal cavity above the middle turbinate. It was removed. A retained gauze piece was revealed to be a cause of phantosmia. The purpose of reporting is to create awareness among ophthalmologists and otolaryngologists. Retained gauze piece following DCR surgery presenting as phantosmia is a new symptom after DCR surgery previously not reported in the literature. Repeated complaints of a postoperative patient, should be dealt with vigilantly and timely.
一名62岁女性因过去4个月持续存在幻嗅（恶臭）前来就诊。她有18个月前右侧泪囊鼻腔吻合术（DCR）和12个月前左侧DCR的病史。在最初的随访期间，患者频繁就诊于耳鼻喉科医生和眼科医生。她经常出现幻嗅，但得到了安慰。患者前来我院并在手术室接受检查。发现右侧鼻腔中鼻甲上方存在散发恶臭的异物。将其取出。发现一块残留的纱布片是幻嗅的原因。报告的目的是提高眼科医生和耳鼻喉科医生的认识。DCR手术后残留纱布片表现为幻嗅是DCR手术后一种新的症状，此前文献中未报道过。对于术后患者的反复投诉，应警惕并及时处理。
